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==Other Imaging Studies==
==Other Imaging Studies==
===Guidelines (DO NOT EDIT)===
===Diagnostic Methods to Detect Renal Artery Stenosis - ACC/AHA Guidelines (DO NOT EDIT)===
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**Captopril renal scintigraphy is not recommended as a screening test to establish the diagnosis of renal artery stenosis;  Level of eveidence: C
**Captopril renal scintigraphy is not recommended as a screening test to establish the diagnosis of renal artery stenosis;  Level of eveidence: C
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===Renal Arteriography===
===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
<div align="left">
<gallery heights="175" widths="175">
Image:Renal artery stenosis.jpg|Renal artery stenosis
Image:Fibromuscular dysplasia.jpg|Fibromscular dysplasia
</gallery>
</div>


==References==
==References==

Latest revision as of 19:14, 28 September 2012

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

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Overview

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

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

References


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