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Cited by 428

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Atherosclerotic Renal Artery Stenosis: Epidemiology, Cardiovascular Outcomes, and Clinical Prediction Rules

Zoccali, Carmine, Mallamaci, Francesca, Finocchiaro, Pietro·2002·Journal of the American Society of Nephrology

Abstract

Atherosclerotic renal artery stenosis is the most common primary disease of the renal arteries, and it is associated with two major clinical syndromes, ischemic renal disease and hypertension. The prevalence of this disease in the population is undefined because there is no simple and reliable test that can be applied on a large scale. Renal artery involvement in patients with coronary heart disease and/or heart failure is frequent, and it may influence cardiovascular outcomes and survival in these patients. Suspecting renal arterial stenosis in patients with recurrent episodes of pulmonary edema is justified by observations showing that about one third of elderly patients with heart failure display atherosclerotic renal disease. Whether interventions aimed at restoring arterial patency may reduce the high mortality in patients with heart failure is still unclear because, to date, no prospective study has been carried out in these patients. Increased awareness of the need for cost containment has renewed the interest in clinical cues for suspecting renovascular hypertension. In this regard, the DRASTIC study constitutes an important attempt at validating clinical prediction rules. In this study, a clinical rule was derived that predicted renal artery stenosis as efficiently as renal scintigraphy (sensitivity: clinical rule, 65% versus scintigraphy, 72%; specificity: 87% versus 92%). When tested in a systematic and quantitative manner, clinical findings can perform as accurately as more complex tests in the detection of renal artery stenosis.

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Metadata

Authors
Zoccali, C., Mallamaci, F., & Finocchiaro, P.
Venue
Journal of the American Society of Nephrology
Published
2002-11
Volume
13
Issue
suppl_3
Pages
S179-S183
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2117157033
Cited by
428
References
38
FWCI
24.51
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Atherosclerotic Renal Artery Stenosis: Epidemiology, Cardiovascular Outcomes, and Clinical Prediction Rules. https://app.cochat.ai/papers/10.1097/01.asn.0000032548.18973.0f
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Zoccali, C., Mallamaci, F., & Finocchiaro, P. (2002). Atherosclerotic Renal Artery Stenosis: Epidemiology, Cardiovascular Outcomes, and Clinical Prediction Rules. Journal of the American Society of Nephrology. https://doi.org/10.1097/01.asn.0000032548.18973.0f

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.