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“Shoot the renals”: the evidence is actually round the corner!
  1. C Chrysochou1,
  2. J Hegarty1,
  3. P R Kalra2,
  4. K Wheatley3,
  5. J Moss4,
  6. P A Kalra1
  1. 1
    Department of Renal Medicine, Salford Royal Hospitals NHS Foundation Trust, Salford, Manchester, UK
  2. 2
    Department of Cardiology, Portsmouth Hospitals NHS trust, Portsmouth, UK
  3. 3
    Birmingham Clinical Trials Unit, University of Birmingham, Edgbaston, Birmingham, UK
  4. 4
    Department of Vascular Radiology, Gartnavel Hospital, Glasgow, UK
  1. Dr C Chrysochou, Salford Royal Hospitals NHS Foundation Trust, Salford, Manchester, UK; tinachrys{at}doctors.org.uk

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To the editor: It was with great interest that we read the recent articles by Dear et al1 and Luft and Gross2 in the December edition of Heart. The problem of when to investigate and treat a patient with suspected arrhythmogenic right ventricular dysplasia (ARVD) is one of considerable controversy at present. The American Heart Association provide guidelines3 that recommend performing simultaneous renal arteriography with coronary arteriography in order to facilitate proactive treatment of renal arterial lesions with “drive-by” angioplasty …

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    J W Dear D J Webb
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    BMJ Publishing Group Ltd and British Cardiovascular Society