Renovascular hypertension is a major form of secondary hypertension caused by narrowing of renal blood vessels, leading to reduced kidney perfusion and systemic blood pressure elevation. High blood pressure affects approximately 75 million adults in the United States and accounts for 8.6% of all primary care visits.^[1] Clinical features include gradual decline in kidney function, headaches, confusion, blurred vision, epistaxis, breathing difficulty, and potential long-term renal damage. Diagnosis is best established using digital subtraction angiography, with atherosclerosis being the most common cause in adults, while fibromuscular dysplasia is more frequent in children. In some regions, Takayasu disease is also observed. Treatment includes antihypertensive therapy, which effectively lowers blood pressure, though long-term renal outcomes remain variable.^[2]