Abstract.
Renovascular disease is an important cause of remediable hypertension in childhood. Specific diagnostic procedures currently available to investigate affected children include Doppler and computed duplex sonography, angiotensin converting enzyme (ACE) inhibitor sensitisation of radionuclide imaging, captopril-stimulated plasma renin activity, hypotensive responses to ACE inhibitor, renal vein renin measurements, renal angiography and magnetic resonance angiography. Carbon dioxide digital subtraction angiography and computerised tomographic and spiral angiography are also available and may play an important future role in such evaluations. Utilising this array of procedures it is usually possible to define the anatomical and functional status of the renal vasculature and be guided towards the most appropriate therapeutic manoeuvres.
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Received October 14, 1996; received in revised form December 12, 1996; accepted December 16, 1996
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Dillon, M. The diagnosis of renovascular disease. Pediatr Nephrol 11, 366–372 (1997). https://doi.org/10.1007/s004670050300
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DOI: https://doi.org/10.1007/s004670050300