August 20, 2010

Indications for renal revascularization—the landscape after the ASTRAL study

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This review discusses the implications of the STAR and ASTRAL studies on management of atherosclerotic renovascular disease and highlight an important study in progress, CORAL.   The authors summarize that “until completion of the CORAL study, it is prudent to restrict the endovascular intervention to only patients with tight RAS of the single functioning kidney or with bilateral lesions in patients with recurrent pulmonary oedema or when arterial hypertension is refractory to medication with rapid deterioration of kidney function.”

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