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Renal Artery Stenosis
Ethan A. Smith, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Renal artery stenosis (RAS)
            • Synonyms

              • Renovascular hypertension (HTN), renin-mediated HTN
            • Definitions

              • Renal artery narrowing causes diminished renal parenchymal blood flow
              • Renin-angiotensin system activates in attempt to maintain renal perfusion, leading to elevated blood pressure

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Angiographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Orman G et al: Diagnostic sensitivity and specificity of CT angiography for renal artery stenosis in children. Pediatr Radiol. 51(3):419-26, 2020
                                          2. Castelli PK et al: Imaging of renin-mediated hypertension in children. AJR Am J Roentgenol. 200(6):W661-72, 2013
                                          3. Tullus K et al: Imaging in the evaluation of renovascular disease. Pediatr Nephrol. 25(6):1049-56, 2010
                                          4. Tullus K et al: Renovascular hypertension in children. Lancet. 371(9622):1453-63, 2008
                                          5. Stanley JC et al: Pediatric renovascular hypertension: 132 primary and 30 secondary operations in 97 children. J Vasc Surg. 44(6):1219-28; discussion 1228-9, 2006
                                          6. Vo NJ et al: Anatomic distribution of renal artery stenosis in children: implications for imaging. Pediatr Radiol. 36(10):1032-6, 2006
                                          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)
                                                    • Synonyms

                                                      • Renovascular hypertension (HTN), renin-mediated HTN
                                                    • Definitions

                                                      • Renal artery narrowing causes diminished renal parenchymal blood flow
                                                      • Renin-angiotensin system activates in attempt to maintain renal perfusion, leading to elevated blood pressure

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Angiographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Orman G et al: Diagnostic sensitivity and specificity of CT angiography for renal artery stenosis in children. Pediatr Radiol. 51(3):419-26, 2020
                                                                                  2. Castelli PK et al: Imaging of renin-mediated hypertension in children. AJR Am J Roentgenol. 200(6):W661-72, 2013
                                                                                  3. Tullus K et al: Imaging in the evaluation of renovascular disease. Pediatr Nephrol. 25(6):1049-56, 2010
                                                                                  4. Tullus K et al: Renovascular hypertension in children. Lancet. 371(9622):1453-63, 2008
                                                                                  5. Stanley JC et al: Pediatric renovascular hypertension: 132 primary and 30 secondary operations in 97 children. J Vasc Surg. 44(6):1219-28; discussion 1228-9, 2006
                                                                                  6. Vo NJ et al: Anatomic distribution of renal artery stenosis in children: implications for imaging. Pediatr Radiol. 36(10):1032-6, 2006