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Community Minded

Asymmetric kidney atrophy with HTN and progressive CKD
A 59-year-old woman has a rising creatinine. The only thing found in the work-up was a renal US with a small 7 cm right kidney with a left kidney of 9.9 cm. A renal scan showed only 21% of total renal function is coming from the R Kidney. What is the next step? The approach to diagnosis and treatment of renal artery atherosclerotic disease is quite controversial. Very different opinions are expressed in this discussion.

Summary provided by Roger Rodby, MD, FASN.
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