| Letters to the Editor |
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| Authors’ response to “Is the routine screening for significant atherosclerotic renal artery stenosis during coronary angiography/intervention indispensable?” |
| Li-jun Pu, Ying Shen, Wei-feng Shen |
| Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China |
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Abstract We are grateful for the constructive comments given by Babic et al. (2013) on our article recently published in the Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology) (Pu et al., 2012). The aim of this study was to generate a logistic regression model to predict the presence of significant atherosclerotic renal artery stenosis (ARAS) defined as luminal diameter stenosis ≥70% of uni- or bilateral renal arteries using clinical, biochemical, and angiographic factors. Although others have used less severe stenosis criteria (<50% luminal diameter narrowing), we believe that renal intervention may be more likely considered for patients with significant ARAS. Likewise, since the mortality risk depends highly on the severity of ARAS, significant ARAS should not be mis-diagnosed during coronary intervention via transradial access (White and Olin, 2009). We agree with Babic et al. (2013) that our regression model may be applied in a particular circumstance, and some patients without all risk factors as indicated in our regression model could be suspected for the presence of significant ARAS.
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Received: 09 October 2012
Published: 08 January 2013
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