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Renal Sympathetic Denervation: MDCT Evaluation of the Renal Arteries.
MedLine Citation:
PMID:  23883251     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE. Percutaneous transluminal renal sympathetic denervation is a new treatment of refractory systemic hypertension. The purpose of this study was to assess the clinical utility of MDCT to evaluate the anatomic configuration of the renal arteries in the context of renal sympathetic denervation. MATERIALS AND METHODS. Two readers retrospectively evaluated the MDCT renal artery scans of 90 patients (mean age, 70 ± 13 years; range, 32-98 years). Analysis included the number of renal arteries on each side, ostial shape and size, angle off the aorta, branching pattern, degree of tortuosity, and distance to adjacent vascular structures. RESULTS. Sixty-five patients had one, 23 had two, and two had three renal arteries on one side. One hundred forty-six arteries were funnel-shaped (72 left and 74 right; mean ostial diameter, 0.9 ± 0.2 cm tapering to 0.6 ± 0.1 cm). The mean tortuosity index was 1.1 (range, 1 [no tortuosity] to 3.1). Compared with the left renal artery, the right renal artery was longer (4.0 ± 0.9 cm vs 5.0 ± 1.2 cm, p ≤ 0.001), originated at a more acute angle on axial (67° vs 98°, p < 0.05) and coronal images (57° ± 16° vs 65° ± 14°, p < 0.05), was significantly closer to the superior mesenteric artery (1.0 ± 0.7 cm vs 1.6 ± 1.2 cm, p < 0.001), and came in closer contact with venous structures (0.0 ± 0.1 vs 0.2 ± 0.9, p < 0.05). CONCLUSION. Our findings suggest MDCT of the renal arteries is an informative investigation in patients undergoing renal sympathetic denervation, providing data on the number and size of renal branches, ostial shape, and proximity to adjacent venous structures.
Authors:
Barry D Hutchinson; David Keane; Jonathan D Dodd
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  201     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  W342-6     Citation Subset:  AIM; IM    
Affiliation:
1 Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
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