ARDMS Vascular Technology (VT) Exam

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A patient with refractory hypertension is referred for a renal artery duplex exam. The peak systolic velocity (PSV) in the suprarenal aorta is 80 cm/s. The highest PSV obtained in the proximal right renal artery is 300 cm/s. What is the calculated Renal-Aortic Ratio (RAR), and what is the most likely interpretation?
Correct Answer:
RAR is 3.75, suggestive of a hemodynamically significant stenosis (>60%).

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