| Digital video subtraction angiography: screening technique for renovascular hypertension. | |
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MedLine Citation:
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PMID: 7031944 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Significant deterrents to the detection of renovascular hypertension are the unreliability of current screening methods and the widespread belief that the incidence of renal artery stenosis is too low to justify the expense and morbidity of routine angiography. We have developed a new imaging method, digital video subtraction angiography, suitable for screening outpatients for renal artery lesions. It involves injecting a 45 cc bolus of contrast medium through a venous catheter. Instead of exposing x-ray film, images are recorded directly on an image intensifier, digitized, and stored in a computer that electronically subtracts, reconstructs, enhances, and magnifies the images on a video screen. Renal parenchymal vessels less than 1 mm in diameter can be seen. So far, 45 studies have been performed in 39 hypertensive patients. Images of diagnostic quality were obtained in all except one. Renal artery stenosis was revealed in 15 patients, renal artery occlusion in two, diffuse intrarenal arterial narrowing in two, atrophic kidney with small renal arteries in two, and normal renal vessels in 23. Digital video subtraction angiography is an inexpensive, cost-effective, safe, and accurate method for renovascular hypertension screening and for evaluating patients after surgical correction of renal artery stenosis. |
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Authors:
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R W Osborne; J Goldstone; B J Hillman; T W Ovitt; J M Malone; S Nudelman |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Surgery Volume: 90 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1981 Dec |
Date Detail:
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Created Date: 1982-02-12 Completed Date: 1982-02-12 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 932-9 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiography
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methods* Computers Diatrizoate Meglumine / diagnostic use Female Humans Hypertension, Renal / radiography* Hypertension, Renovascular / radiography* Male Renal Artery / radiography Renal Artery Obstruction / radiography Subtraction Technique |
| Grant Support | |
ID/Acronym/Agency:
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N01-HV-7-2931/HV/NHLBI NIH HHS; P50-HL 14136/08/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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131-49-7/Diatrizoate Meglumine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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