Renovascular disease other imaging findings

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

“

CLASS I

When the clinical index of suspicion is high and the results of noninvasive tests are inconclusive, cathether angiography is recommended as a diagnostic test to establish teh diagnosis of renal aretry stenosis; Level of eveidence: B

CLASS III

- Captopril renal scintigraphy is not recommended as a screening test to establish the diagnosis of renal artery stenosis; Level of eveidence: C

”

Abdominal Aortogram: identification of ostia of the renal arteries and accessory renal arteries (25% of population)
Arteriography should include both the arterial phase and the nephrographic phase
Disease involving renal bifurcations require cranial or caudal angulation to open out the lesion
Evidence of aortic atheroma: technique of no-touch angiography is recommended