The Value of the Postangiographic Pyelogram

Hipona, Florencio A.; Melnick, Gilbert S.

doi:10.2214/ajr.95.2.413

Cited by 8 publications

(3 citation statements)

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“…Some studies ( 1,5,9,11,17,22) reported vent ricular septal defect, pulmonary stenosis. tetralogy of Fallot.…”

Section: Discussionmentioning

confidence: 99%

“…The 4 most frequen t anomalies in our series were hydronephrosis (1 7.5 %), doub le pelvis and/or ureters (14 .4 %), calyceal and/or pelvic malformations ( 11.2 %), and renal ectopy (I l.l %). According to the literature, in UTMs associated with Cli O hyd ronep hrosis ranges from 18 % to 57 % (5,ID,11,17), dou ble pelvis and/or ureters from 14 % to 60 % (5, 9,1 1, 17, 22) and renal ectopy from 12 % to 23 % (9. 10.…”

Section: Discussionmentioning

confidence: 99%

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The Incidence of Urinary Tract Malformations in Congenital Heart Disease

Derchi

Giusti

Reginato

et al. 1984

Thorac cardiovasc Surg

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A statistically significant number of congenital heart disease patients were evaluated for urinary tract anomalies. Twelve percent (160 cases among 1340 patients) had such associated anomalies. However, no association between a specific congenital heart disease and a particular urinary tract anomaly could be found. The results were very similar to those reported in clinical series, but slightly higher than those found at autopsy. The percentage of urinary tract malformations varied over a wide range, with some congenital heart disease having a much higher association than others. However, the total average incidence of urinary tract malformation was similar to that of the general population.

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“…Some studies ( 1,5,9,11,17,22) reported vent ricular septal defect, pulmonary stenosis. tetralogy of Fallot.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Incidence of Urinary Tract Malformations in Congenital Heart Disease

Derchi

Giusti

Reginato

et al. 1984

Thorac cardiovasc Surg

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“…In October 1965, Dr. Hipona and I published a short paper in which we evaluated the postangiographic urogram for detection of occult renal disease [1 ]. In a large series of patients from the Yaleâ€"New Haven Hospital, mostly with congenital heart disease, we found a 1.4% incidence of significant lesions, most being congenital anomalies.…”

mentioning

confidence: 99%

Post-CT abdominal film: a radiologist's obligation

Gs¹

1981

American Journal of Roentgenology

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The “free” routine postcatheterization urogram: A cost/benefit analysis

et al. 1982

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Postangiography urography has become routine procedure in most centers performing cardiac catheterization in children. We analyzed the x-radiation dosage and clinical yield of this procedure. Using lithium fluoride thermoluminescent dosimeters, radiation exposure to the abdomen and gonads was measured in 35 children during postangiography urography. Results of 334 consecutive routine postangiography cine-urograms were evaluated based on clinical significance and compared to previous reports on this subject. Average absorbed abdominal radiation dosage was 241 mR +/- 240 from cine-urography, 16 mR +/- 13 from fluoroscopy, and 107 mR +/- 111 from a single abdominal roentgenogram. Gonadal dosage averaged 8 mR and was uniformly less than 27 mR. Of 334 routine postangiography cineurograms, 282 (84%) were normal, 30 (9%) were technically inadequate, 12 (3%) had abnormalities that were clinically insignificant or were falsely "positive" and in 10 (3%), clinically significant urologic conditions were confirmed. Because of the low yield of clinically significant anomalies and the added radiation exposure, we no longer perform routine postangiography cine-urography in children. Following cardiac angiography, the upper renal collecting systems are examined fluoroscopically. If abnormalities are suspected or fluoroscopy is equivocal, a single abdominal roentgenogram is performed. Using this procedure, mean average absorbed abdominal radiation dose can be reduced from 241 mR to 30.5 mR.

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The Value of the Postangiographic Pyelogram

Abstract: CONNECTICUT radioiodinated cholografin and renografin as an experimental test of gastrointestinal perforation.

Cited by 8 publications

References 0 publications

The Incidence of Urinary Tract Malformations in Congenital Heart Disease

The Incidence of Urinary Tract Malformations in Congenital Heart Disease

Post-CT abdominal film: a radiologist's obligation

The “free” routine postcatheterization urogram: A cost/benefit analysis

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