title: The role of CT angiography in the evaluation of pediatric renovascular hypertension.
abstract: Historically, the evaluation of renovascular hypertension has been accomplished by US, renal scintigraphy and digital subtraction angiography. Based on its high accuracy reported in adults renal CT angiography (CTA) with pediatric-appropriate low radiation dose techniques has become an important tool in the workup of renovascular hypertension in children. Renal CTA has several advantages over more conventional imaging modalities, including rapid and non-invasive acquisition, high resolution and easy reproducibility. Additionally, in our experience high-quality renal CTA can be performed using low-dose radiation exposures and can be acquired without sedation in most instances. This article illustrates by examples the usefulness of renal CTA for diagnosis of childhood renovascular hypertension and provides an overview of renal CTA findings in the most common childhood renovascular diseases.
authors.affiliation: Department of Radiology, The Children's Hospital of Philadelphia, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Kurian
authors.forename: Monica
authors.initials: M
authors.lastname: Epelman
authors.forename: Kassa
authors.initials: K
authors.lastname: Darge
authors.forename: Kevin
authors.initials: K
authors.lastname: Meyers
authors.forename: Els
authors.initials: E
authors.lastname: Nijs
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Hellinger
mesh_terms: D000293:Adolescent; D000792:Angiography / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging*; D007223:Infant; D008297:Male; D011856:Radiographic Image Enhancement / Q000379:methods*; D012077:Renal Artery / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*