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Volume 343:438-439 August 10, 2000 Number 6
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The Effect of Balloon Angioplasty on Hypertension in Atherosclerotic Renal-Artery Stenosis

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 by van Jaarsveld, B. C.
To the Editor: The study by van Jaarsveld and colleagues (April 6 issue)1 compared angioplasty with antihypertensive-drug therapy in patients with renal-artery stenosis and inadequately controlled hypertension. We are concerned about several aspects of this study: the small sample, the use of angioplasty alone rather than with stenting, the treatment-crossover rate, and the authors' interpretation of the outcome with respect to blood pressure.

Of the 50 patients randomly assigned to receive drug therapy, 22 (49 percent) subsequently underwent angioplasty, resulting in a dilution of the difference in long-term outcomes. Nevertheless, the mean number of drugs required at 12 months was . . . [Full Text of this Article]

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