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Renal Artery Stenosis
Amir A. Borhani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Renal artery stenosis (RAS)
              • Fibromuscular dysplasia (FMD)

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Prigent A et al: Clinical problems in renovascular disease and the role of nuclear medicine. Semin Nucl Med. 44(2):110-22, 2014
                                          2. Spyridopoulos TN et al: Ultrasound as a first line screening tool for the detection of renal artery stenosis: a comprehensive review. Med Ultrason. 12(3):228-32, 2010
                                          3. ASTRAL Investigators et al: Revascularization versus medical therapy for renal-artery stenosis. N Engl J Med. 361(20):1953-62, 2009
                                          4. Granata A et al: Doppler ultrasound and renal artery stenosis: An overview. J Ultrasound. 12(4):133-43, 2009
                                          5. Kramer U et al: Isotropic high-spatial-resolution contrast-enhanced 3.0-T MR angiography in patients suspected of having renal artery stenosis. Radiology. 247(1):228-40, 2008
                                          6. Sheth S et al: Multi-detector row CT of the kidneys and urinary tract: techniques and applications in the diagnosis of benign diseases. Radiographics. 24(2):e20, 2004
                                          7. Urban BA et al: Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics. 21(2):373-86; questionnaire 549-55, 2001
                                          8. Kawashima A et al: CT evaluation of renovascular disease. Radiographics. 20(5):1321-40, 2000
                                          9. Gilfeather M et al: Renal artery stenosis: evaluation with conventional angiography versus gadolinium-enhanced MR angiography. Radiology. 210(2):367-72, 1999
                                          10. Johnson PT et al: Renal artery stenosis: CT angiography--comparison of real-time volume-rendering and maximum intensity projection algorithms. Radiology. 211(2):337-43, 1999
                                          11. Karasch T et al: Diagnosis of renal artery stenosis and renovascular hypertension. Eur J Ultrasound. 7 Suppl 3:S27-39, 1998
                                          12. Rubin GD et al: Helical CT angiography of renal artery stenosis. AJR Am J Roentgenol. 168(4):1109-11, 1997
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Renal artery stenosis (RAS)
                                                      • Fibromuscular dysplasia (FMD)

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • Angiographic Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Prigent A et al: Clinical problems in renovascular disease and the role of nuclear medicine. Semin Nucl Med. 44(2):110-22, 2014
                                                                                  2. Spyridopoulos TN et al: Ultrasound as a first line screening tool for the detection of renal artery stenosis: a comprehensive review. Med Ultrason. 12(3):228-32, 2010
                                                                                  3. ASTRAL Investigators et al: Revascularization versus medical therapy for renal-artery stenosis. N Engl J Med. 361(20):1953-62, 2009
                                                                                  4. Granata A et al: Doppler ultrasound and renal artery stenosis: An overview. J Ultrasound. 12(4):133-43, 2009
                                                                                  5. Kramer U et al: Isotropic high-spatial-resolution contrast-enhanced 3.0-T MR angiography in patients suspected of having renal artery stenosis. Radiology. 247(1):228-40, 2008
                                                                                  6. Sheth S et al: Multi-detector row CT of the kidneys and urinary tract: techniques and applications in the diagnosis of benign diseases. Radiographics. 24(2):e20, 2004
                                                                                  7. Urban BA et al: Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics. 21(2):373-86; questionnaire 549-55, 2001
                                                                                  8. Kawashima A et al: CT evaluation of renovascular disease. Radiographics. 20(5):1321-40, 2000
                                                                                  9. Gilfeather M et al: Renal artery stenosis: evaluation with conventional angiography versus gadolinium-enhanced MR angiography. Radiology. 210(2):367-72, 1999
                                                                                  10. Johnson PT et al: Renal artery stenosis: CT angiography--comparison of real-time volume-rendering and maximum intensity projection algorithms. Radiology. 211(2):337-43, 1999
                                                                                  11. Karasch T et al: Diagnosis of renal artery stenosis and renovascular hypertension. Eur J Ultrasound. 7 Suppl 3:S27-39, 1998
                                                                                  12. Rubin GD et al: Helical CT angiography of renal artery stenosis. AJR Am J Roentgenol. 168(4):1109-11, 1997