The diagnosis of renovascular disease

被引：46

作者：

Dillon, MJ

机构：

[1] Renal Unit, Gt. Ormond St. Hosp. Children NHS T., London WC1N 3JH, Great Ormond Street

[2] Department of Nephrology, Institute of Child Health, London WC1N 1EH, Guilford Street

来源：

PEDIATRIC NEPHROLOGY | 1997年 / 11卷 / 03期

关键词：

renovascular disease; hypertension; renin duplex sonography; renography; captopril; angiography;

D O I：

10.1007/s004670050300

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Renovascular disease is an important cause of remediable hypertension in childhood. Specific diagnostic procedures currently available to investigate affected children include Doppler and computed duplex sonography, angiotensin converting enzyme (ACE) inhibitor sensitisation of radionuclide imaging, captopril-stimulated plasma renin activity, hypotensive responses to ACE inhibitor, renal vein renin measurements, renal angiography and magnetic resonance angiography. Carbon dioxide digital subtraction angiography and computerised tomographic and spiral angiography are also available and may play an important future role in such evaluations. Utilising this array of procedures it is usually possible to define the anatomical and functional status of the renal vasculature and be guided towards the most appropriate therapeutic manoeuvres.

引用

页码：366 / 372

页数：7

共 108 条

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[2]

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