A 65-year old woman who has previously undergone right renal artery stenting presented to her physician with increased recurrent arterial velocities within the proximal right renal artery duplex ultrasound survey.   Documented Diagnosis: Recurrent Right Renal Artery Stenosis. Documented Procedure: Angiographic Assessment with Flush Aortogram. Other Documentation of the Encounter: Upon an initial assessment the patient was advised to undergo an angiographic assessment to treat potentially severe recurrent right renal artery stenosis. The patient was counseled as to the risks of the procedure to include access site bleeding, hematoma, or aneurysm formation, contrast-related nephropathy or allergy, or arterial injury. She elected to proceed with the procedure. The patient was taken …