Abstract
In renovascular hypertension, the screening test of choice is a renal scintigraphy with the administration of captopril. This test is useful to investigate the functional significance of a stenosis, to predict the blood pressure response after revascularization, and to detect restenoses. Contrast angiography (i.a. or i.v. DSA) is most reliable to visualize renal artery stenoses. Newer tests like duplex sonography, magnetic resonance imaging, and CT angiography need further evaluation. Percutaneous transluminal angioplasty is a well-accepted first approach to treat renovascular hypertension; additionally, it is worth a try to prevent the development of endstage renal failure in patients with generalized arteriosclerosis, progressive renal insufficiency and a very high surgical risk.
| Translated title of the contribution | Renovascular hypertension in kidney artery stenosis. Diagnosis and indication for angioplasty |
|---|---|
| Original language | German |
| Pages (from-to) | 716-722 |
| Number of pages | 7 |
| Journal | Therapiewoche |
| Volume | 45 |
| Issue number | 12 |
| State | Published - 1995 |
| Externally published | Yes |