posted by Michelle Brown, RN, University of Chicago Hospitals, Chicago, Illinois, USA, February 19, 2000
How do we go about picking the best Chicago-based nephrologist and/or interventional radiologist for my 23 year old brother who was just diagnosed with renal artery stenosis? We would like to get a second opinion before pursuing treatment options. How do we know who is the best?

• As we are involved in the interventional field, I can't recommend a way to find a nephrologist, but finding an interventional radiologist in your area has been made very easy by the Society of Cardiovascular & Interventional Radiology (SCVIR). Go to their web site at and click on the map labeled (oddly enough) "find an interventional radiologist near you". Make sure to read their disclaimer, then select your area and you'll get a list of potential phone calls. While, like the SCVIR, we cannot recommend one physician over another, good questions always are "how many renal angioplasties do you perform annually?" and "what is your success rate?" Also, the minimally invasive treatment of renal artery stenosis increasingly has been coming under the rubric of the interventional cardiologist, so you might want to check with that department in your own hospital system for a referral (University of Chicago's Dr. Thomas Levin's very nice comments about our site appear on our "recognition" page). Good luck.
Forum Editor, PTCA.ORG, February 19, 2000

I recently underwent an angiogram with an "on-call" interventional radiologist. I had spoken to the nurse the day before and she said that who ever happened to be on call the day of my procedure was who did it. I think it's great that you get a second opinion as my test turned out to be a nightmare unfortunately. I was not given enough amnesia drug or pain killer and was wide awake and feeling and seeing it all. I found out later that I was given the dosage for a child and not an adult. I cant blame the radiologist as I am sure this portion is not his responsibility,but frankly I dont really know. I found out about the dosage two days later from my primary doctor.Long story short I am now shell shocked and not looking forward to the next appt.w/vacular surgeon. I pray that they can do something for my leg blokages w/out surgery.By the way I am 48 year old female,who had angioplasty w/stent implant in dec.1999 w/ no problems.
Patricia C., Daytona Beach, Florida, USA, 26 Apr 2000


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