Document Detail


Digital video subtraction angiography: screening technique for renovascular hypertension.
MedLine Citation:
PMID:  7031944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R W Osborne; J Goldstone; B J Hillman; T W Ovitt; J M Malone; S Nudelman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Surgery     Volume:  90     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1981 Dec 
Date Detail:
Created Date:  1982-02-12     Completed Date:  1982-02-12     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  932-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Angiography / 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:
N01-HV-7-2931/HV/NHLBI NIH HHS; P50-HL 14136/08/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
131-49-7/Diatrizoate Meglumine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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