Peripheral renal vascular disease in essential hypertension: Hemodynamic, angiographic, and endocrine assessment

Arlart, I. P.; J, Rosenthal

doi:10.1007/bf02553138

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…The degree of structural abnormalities at the level of interlobar and arcuate arteries has been shown to correlate with renal blood flow and renal vein renin levels. 17,18 Regarding the symmetry of peripheral abnormalities on renal angiography, data from the literature are inconclusive. Arlart et al 18 found approximately symmetric peripheral involvement, whereas Caralps et al 19 demonstrated asymmetric alterations of the interlobar and arcuate arteries in 11 of 25 patients.…”

Section: Van Onna Et Al Asymmetry Of Renal Blood Flow In Hypertensionmentioning

confidence: 99%

“…17,18 Regarding the symmetry of peripheral abnormalities on renal angiography, data from the literature are inconclusive. Arlart et al 18 found approximately symmetric peripheral involvement, whereas Caralps et al 19 demonstrated asymmetric alterations of the interlobar and arcuate arteries in 11 of 25 patients. Interestingly, the latter investigators reported in 10 of the 11 asymmetry cases that the left kidney was more affected than the right one.…”

Section: Van Onna Et Al Asymmetry Of Renal Blood Flow In Hypertensionmentioning

confidence: 99%

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Asymmetry of Renal Blood Flow in Patients With Moderate to Severe Hypertension

et al. 2003

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Abstract-It is generally assumed that renal blood flow is symmetric in the absence of renal artery stenosis. The aim of the present study was to evaluate whether this is really the case. From a group of consecutive hypertensive patients who had undergone renal angiography, we selected those with patent renal arteries. In all of them selective renal blood flow (RBF) measurements ( 133 Xenon washout technique) had been performed with blood sampling from aorta and both renal veins (nϭ148). Asymmetry of RBF, defined as Ն25% difference in RBF between left and right kidney, was present in 51% of the patients. Subjects with and without asymmetry did not differ in age, body mass index, blood pressure, creatinine clearance, renal volume, or activity of the renin-angiotensin system. The presence of asymmetry coincided with an increased rate of false-positive results on renal scintigraphy. Preliminary data suggest that there may be a relation between asymmetry and renal sympathetic nerve activity. This study demonstrates that asymmetry of RBF is a frequent finding in essential hypertension, which may confound the results of diagnostic tests for renal artery stenosis. Furthermore, the present results underscore the importance of studying the function of both kidneys separately, because it cannot be assumed that they are functionally equal.

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Section: Van Onna Et Al Asymmetry Of Renal Blood Flow In Hypertensionmentioning

confidence: 99%

Section: Van Onna Et Al Asymmetry Of Renal Blood Flow In Hypertensionmentioning

confidence: 99%

Asymmetry of Renal Blood Flow in Patients With Moderate to Severe Hypertension

et al. 2003

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Renal circulation in essential hypertension

Leeuw¹,

Birkenhäger²

1987

Developments in Cardiovascular Medicine

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Diagnostic and therapeutic strategies in renal artery stenosis

Onna

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Peripheral renal vascular disease in essential hypertension: Hemodynamic, angiographic, and endocrine assessment

Cited by 3 publications

References 36 publications

Asymmetry of Renal Blood Flow in Patients With Moderate to Severe Hypertension

Asymmetry of Renal Blood Flow in Patients With Moderate to Severe Hypertension

Renal circulation in essential hypertension

Diagnostic and therapeutic strategies in renal artery stenosis

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