Samuel J. Mann, MD; Thomas A. Sos, MD
Potential Conflicts of Interest: None disclosed.
Mann SJ, Sos TA. Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function. Ann Intern Med. 2010;152:197. doi: 10.7326/0003-4819-152-3-201002020-00021
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Published: Ann Intern Med. 2010;152(3):197.
TO THE EDITOR:
When the results of a randomized trial disagree with clinical experience and previous publications, their validity merits critical examination. In the STAR (STent placement and blood pressure and lipid-lowering for the prevention of progression of renal dysfunction caused by Atherosclerotic ostial stenosis of the Renal artery) trial assessing the efficacy of renal artery stenting, Bax and colleagues reported no benefit and recommended avoiding stenting in patients with renal artery stenosis (1). This could lead to denial of the procedure, by physicians and by managed care organizations, to patients who truly need it.
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