TY - CHAP M1 - Book, Section TI - ATHEROSCLEROTIC RENAL ARTERY STENOSIS A1 - Weinberg, Ido A1 - Jaff, Michael R. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 67-year-old man treated for hypertension (HTN) for the past 25 years is now having difficulty with his blood pressure control. His medical history is notable for long-standing hypercholesterolemia and former tobacco abuse (25 pack-years) until 1 month ago when he was hospitalized for chest pain. At that time his blood pressure was 195/110 mm Hg. He has noted that blood pressure control has been gradually worsening over the past several years. Most recently, his blood pressure measurements have not been below 160/95 mm Hg. He has eliminated salt from his diet, has been watching his weight, and has been compliant with his three antihypertensive medications, all of which have been prescribed at maximal doses (hydrochlorothiazide 25 mg/d, lisinopril 40 mg/d, and amlodipine 10 mg/d). On physical examination he has a midline systolic bruit just above the umbilicus radiating to his right flank. Figures 43-1,43-2, and 43-3 demonstrate the typical appearance of atherosclerotic renal artery stenosis (ARAS) by duplex ultrasonography, computed tomography (CT), and contrast angiography. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105290876 ER -