Renovascular disease other imaging findings

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

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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

• 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

• 

  Fibromscular dysplasia

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