Renovascular hypertension arteriography

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

Indications for Arteriographic Imaging to Rule Out Renovascular Hypertension

Class I

• Hypertension in a patient < 30 yrs old
• Severe increase in blood pressure in a patient > 55 yrs old
• Accelerated increase in BP
• Resistant increase in BP
• Complicated malignant increase in BP
• Reduction in GFR or rise in Cr with RAS blockade
• > 1.5 cm difference in renal size on ultrasound
• Flash pulmonary edema

Class IIa

• Unexplained renal failure

Class IIb

• Multivessel CAD or PAD
• Unexplained CHF or refractory angina