CORAL supports optimal medical therapy first for renal artery stenosis

Stenting and multifactorial medical therapy compared with multifactorial medical therapy alone for treatment of moderately severe renal artery stenosis in hypertensive patients are similarly effective, investigators reported at the American Heart Association meeting. Former SCAI President Dr. Christopher White said the findings support what cardiologists are already doing in clinical practice. SCAI fellow Dr. Michael Jaff said, "The message is very simple: If someone has renal artery stenosis and high blood pressure, they need a very aggressive comprehensive trial of medical therapy before considering any other interventional procedure." He added, "It does not mean that no one should ever get a renal artery stent," noting a variety of other scenarios where intervention should be considered.

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