title: Renovascular hypertension: easier diagnosis and treatment with intravenous renal arteriography and percutaneous transluminal dilatation.
abstract: For the diagnosis of renovascular disease, the authors propose the use of intravenous arteriography with photographic subtraction as the method of choice and advise the use of pyelogram wash-out to assess the functional significance of the stenosis. Furthermore they report their experience with percutaneous transluminal dilatation in 41 patients (10 fibrotic--31 atherosclerotic renal artery stenoses) and suggest that this method is valid alternative to surgery specially in poor risk patients. A controlled trial of this method versus surgery needs however to be undertaken to define the respective roles of these treatments.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D002648:Child; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000000981:diagnostic imaging* / Q000628:therapy*; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*
chemical_list: D003287:Contrast Media