Intravenous digital subtraction renal angiography: use in screening for renovascular hypertension.

Published

Journal Article

Intravenous digital subtraction renal angiography (DSRA) has been compared with conventional angiography only in small, selected series of hypertensive patients. The authors prospectively examined with intravenous DSRA 94 patients at increased risk for renovascular hypertension and compared these studies with conventional angiography. A stenosis of at least one main renal artery was identified with intravenous DSRA in 22 patients and confirmed in 20 patients. No significant stenoses were seen with conventional angiography in any of the 64 patients in whom lesions were not seen with intravenous DSRA. Since inadequate DSRA studies were considered positive for renal artery stenosis, the sensitivity of intravenous DSRA was 100% (25 of 25); specificity, 93% (64 of 69); positive predictive value, 83% (25 of 30); and negative predictive value, 100% (64 of 64). The authors conclude that intravenous DSRA is a sensitive test for identifying stenosis of the main renal arteries and is appropriate to use as a screening test among patients at increased risk for renovascular hypertension.

Full Text

Duke Authors

Cited Authors

  • Dunnick, NR; Svetkey, LP; Cohan, RH; Newman, GE; Braun, SD; Himmelstein, SI; Bollinger, RR; McCann, RL; Wilkinson, RH; Klotman, PE

Published Date

  • April 1989

Published In

Volume / Issue

  • 171 / 1

Start / End Page

  • 219 - 222

PubMed ID

  • 2648471

Pubmed Central ID

  • 2648471

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.171.1.2648471

Language

  • eng