Sonography in renovascular hypertension

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Hsin-Yi Lee, Edward G Grant

Abstract

To familiarize practitioners with different sonographic manifestations of renal artery compromise and the sonographic techniques for renal artery imaging. Approximately 1500 examinations evaluating for renal artery disease are performed in our vascular laboratory every year. Most of the patients have the symptoms of hypertension (possibly related to renovascular etiology) and renal insufficiency. From our cumulative experience, the optimal scanning techniques are defined for each renal artery, for extrarenal versus intrarenal vascular evaluation, and for patients with different body habitus. We have also tabulated our technical success rate. Cases with sonographic evidence of renal artery compromise are identified. The validity, sensitivity, and specificity of different parameters are examined. We achieve an approximately 75% to 80% success rate in obtaining technically adequate studies. We have not found the tardus-parvus waveform evaluation to be as valuable as direct interrogation of the renal artery. Duplex/color Doppler sonography serves a vital role in the diagnosis of renal artery stenosis and occlusion; it has an excellent correlation with contrast-enhanced angiography. It is also used for intraoperative or postrevascul...Continue Reading

References

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Citations

Oct 24, 2002·Current Opinion in Nephrology and Hypertension·John F Reidy
Feb 25, 2020·Clinical Physiology and Functional Imaging·Shohei ShibasakiTakashi Watanabe
May 17, 2003·American Journal of Physiology. Heart and Circulatory Physiology·Afsana MomenLawrence I Sinoway
May 16, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Govind B ChavhanOscar M Navarro
Jan 15, 2004·Cardiovascular Ultrasound·Agatino ManganaroDomenico Giannino
Oct 22, 2005·Experimental Physiology·Naoyuki HayashiYoshiyuki Fukuba
Jun 22, 2005·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Ana Zupunski, Jadranka Buturović-Ponikvar
May 30, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Marcello ManciniOlga Vaccaro
Mar 18, 2003·Current Opinion in Pediatrics·Karen I Norton
Aug 22, 2003·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·Jörg Radermacher, Hermann Haller
Aug 18, 2017·Journal of Hypertension·Costas TsioufisMichel Burnier
Dec 31, 2003·Transplantation Proceedings·J Buturović-Ponikvar, R Ponikvar
Jan 13, 2006·Kidney International·M BardelliUNKNOWN Italian Group for the Study of Renovascular Hypertension
Dec 1, 2009·Journal of Ultrasound·A GranataC E Fiore

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