I agree with the authors' comments, which are on the basis of their 2 cases, that there is no ideal solution to in-stent restenosis after renal artery stenting. Many options and methods exist, but none has proved to resolve this condition in all patients. The case of our patient reveals that our approach was correct in resolving this complex problem of renal artery in-stent stenosis. The evidence of this is that our patient has continued to do well since the procedure.