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Lack of Evidence on Treatment for Narrowed Kidney Arteries

han drug therapy alone.

* The evidence is inadequate to determine whether the treatments differ in lowering the risks of death, kidney failure, or heart disease.

* The risks of adverse events have not been adequately measured. Some studies suggested up to 3 percent of angioplasty patients died within 30 days. Other risks of angioplasty include kidney deterioration, injury to the renal artery or kidney tissue, and heart attack.

* Adverse events related to blood pressure medications (ACE inhibitors, beta blockers, and hydralazine) include dizziness when standing, problems with the digestive or nervous systems, and Raynaud’s syndrome, which restricts blood flow to the fingers and toes.

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