[Diagnosis and visualization of renal artery stenosis by color-coded Doppler ultrasonography. Comparison of central and peripheral flow patterns].
OBJECTIVE
Comparison between central and peripheral flow patterns with color-coded duplex sonography in the diagnosis of renal artery stenosis.


METHODS
In a prospective study with sixty-six patients systolic velocity (central examination) and acceleration index (peripheral examination) were determined using color-coded duplex sonography examination in order to detect and visualize renal artery stenosis. If the central and peripheral measurements were negative, no angiography was performed. In contrast, if one of the methods yielded a pathological finding, catheter angiography was performed to verify the results (21 patients), as well as in two other unclear cases.


RESULTS
An agreement between central and peripheral measuring was seen in 49 of 66 patients. In ten patients central and peripheral measurements showed different results. In seven cases the peripheral measurements were not clear. Compared to angiography, peripheral measurement showed a sensitivity of 60%, a specificity of 75% and a positive predictive value of 81.8%. In contrast, central examination had a sensitivity of 100%, a specificity of 75% and a positive predictive value of 88.2%.


CONCLUSIONS
Based on our preliminary results, the measurement of the systolic velocity peak seems to be an effective method to detect renal artery stenosis.
Ruebben
A
A
Klinik für Radiologische Diagnostik der RWTH Aachen. Ruebben@rad.rwth-aachen.de
Piroth
W
W
Neuerburg
J
J
Wildberger
J E
JE
Schmitz-Rode
T
T
Günther
R W
RW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D005069:Evaluation Studies as Topic; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging*; D012079:Renal Circulation; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color
Diagnostik und Darstellung von Stenosen der Arteria renalis mittels Farbkodierter Dopplersonographie. Vergleich von zentraler und peripherer Flussableitung.