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Renovascular disease other imaging findings

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

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Overview

Overview

Other Imaging Studies

Other Imaging Studies

Diagnostic Methods to Detect Renal Artery Stenosis – ACC/AHA Guidelines (DO NOT EDIT)

“

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
 ”

Renal Arteriography

Renal Arteriography

  • 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
  • Renal artery stenosis
    Renal artery stenosis
  • Fibromscular dysplasia
    Fibromscular dysplasia
References

References


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