Atherosclerotic Renal Artery Stenosis, the Oculostenotic Reflex, and Therapeutic Nihilism
نویسندگان
چکیده
منابع مشابه
Atherosclerotic renal artery stenosis, the oculostenotic reflex, and therapeutic nihilism.
Fifteen years ago, Topol and Nissen1 described the oculostenotic reflex as an “irresistible temptation ... to perform angioplasty on any significant residual stenosis,” highlighting a widely held misperception that an angiographically severe stenosis must cause ischemia and that revascularization results in clinical benefit. Although quantitative angiography improves the accuracy of stenosis se...
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A68-year-old man with no active cardiac symptoms was seen in our outpatient center for a second opinion after having undergone 4 percutaneous revascularization procedures in the previous 5 months at an outside hospital. Five years before this visit, the patient had undergone a routine treadmill exercise test that showed changes suggestive of coronary artery disease. Although he was asymptomatic...
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ژورنال
عنوان ژورنال: Circulation: Cardiovascular Interventions
سال: 2010
ISSN: 1941-7640,1941-7632
DOI: 10.1161/circinterventions.110.959700