期刊
PEDIATRIC NEPHROLOGY
卷 25, 期 6, 页码 1049-1056出版社
SPRINGER
DOI: 10.1007/s00467-009-1320-9
关键词
Renovascular hypertension; Imaging; Ultrasound; Angiography; Magnetic resonance angiography (MRA); Computed tomography angiography (CTA); Technetium-99m dimercapto-succinic acid (DMSA) scintigraphy
Renovascular disease (RVD) is an important cause of hypertension in children, as it often is amenable to potentially curative treatment. Imaging aimed at finding RVD therefore needs to have high sensitivity so as not to miss important findings. Digital subtraction angiography is the gold standard investigation. Doppler ultrasonography, computed tomography (CT) angiography and magnetic resonance (MR) angiography can all be helpful, but none has, at present, high enough sensitivity to rule out RVD in a child with a suggestion of that diagnosis.
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