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ARVD is clinically presented as: \u2018silent\u2019 renal artery stenosis, renovascular hypertension, ischemic nephropathy leading to deterioration of renal function and recurrent \u2018flash\u2019 pulmonary edema. Management of ARVD involves both revascularization and medical treatment. However, the impact of revascularization on kidney function and blood pressure control is a matter of great controversy in view of the results of recent randomized clinical trials. At present, concerted medical management (includes lifestyle modifications, such as smoking cessation) remains the main treatment option for patients with ARVD. 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