肾血管性高血压的影像学检查

Hira Lal , B. Madan Mohan , Zafar Neyaz , Narayan Prasad , R.K. Sharma
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引用次数: 0

摘要

肾血管性高血压是继发性高血压最常见的病因。影像学在这些病例的诊断中起着重要的作用。数字减影血管造影(DSA)是调查疑似病例的金标准。彩色多普勒超声(CDUS)是一种非常有效和廉价的筛查工具。CT血管造影和MR血管造影是DSA的有效替代方法。在确定肾动脉狭窄功能意义的选定患者中,使用卡托普利显像和肾静脉肾素取样。
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Imaging in renovascular hypertension

Renovascular hypertension is the most common cause of secondary hypertension. Imaging plays an important role in establishing the diagnosis in these cases. Digital subtraction angiography (DSA) is the gold standard investigation in suspected cases. Colour Doppler Ultrasound (CDUS) is a very effective and cheap screening tool. CT angiography and MR angiography are effective and comparable alternatives to DSA. Captopril scintigraphy and renal vein renin sampling are used in selected patients in whom the functional significance of the renal artery stenosis is to be determined.

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