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Arteriographic Pitfalls in the Diagnosis of Renovascular Hypertension
John H. Foster, MD;
Eugene C. Klatte, MD;
Henry Burko, MD
AMA Arch Surg. 1969;99(6):792-801.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Renal arteriography has proved to be the best screening test for renovascular hypertension. Rapid-squence excretory urography and radioactive isotope renography, both utilized as screening tests, have proved to be less satisfactory because of a 10% to 20% incidence of false-negative results.1-3 The mere presence of a renal artery stenosis in a patient with hypertension does not establish a causal relationship. At present, the functional or pathophysiologic significance of a given renal artery stenosis can best be determined by split renal function studies (Howard and Stamey tests) or by renal venous renin assays. In our experience, the prognostic accuracy of each of these tests is about 95%.1,2
The purpose of this report is to call attention to certain misleading findings that may sometimes be encountered in renal arteriography. Recognition of these pitfalls in the interpretation of renal arteriograms may lead to more successful use of this radiographic method for
. . . [Full Text PDF of this Article]
Author Affiliations
Nashville, Tenn
From the departments of surgery (Dr. Foster) and radiology (Drs. Klatte and Burko), Vanderbilt University School of Medicine, Nashville, Tenn.
Footnotes
Submitted for publication Aug 5, 1969.
Read before the 17th scientific meeting of the North American Chapter of the International Cardiovascular Society, New York, July 12, 1969.
Reprint requests to Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tenn 37203 (Dr. Foster).
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