Renal arterlerin değerlendirilmesinde kontraslı 3D anjiografi'nin rolü ve Doppler USG ile korelasyonu
Küçük Resim Yok
Tarih
2001
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada renal arter stenozlarında, üç boyutlu kontrastlı manyetik rezonans anjiografinin tanısal rolü irdelenmiştir ve renkli Doppler ultrasonografi bulguları ile korele edilmiştir. Renal hipertansiyon ön tanısı ile gönderilen 25 olgu, otomatik enjektör kullanımı ile nefes tutmalı 3 boyutlu kontrastlı manyetik rezonans anjiografi ve renkli Doppler ultrasonografi ile değerlendirildi. Bu iki modalite ile renal arter stenozu bulguları olan 5 olguya digital subtraksiyon anjiografi uygulandı. Olguların %36'sında, renal arter stenozuna ait bulgular saptandığından anjiografik değerlendirme önerildi. Geri kalan %64'lük hasta grubunda ise, manyetik rezonans anjiografi ve renkli Doppler ultrasonografi inceleme sonuçları normaldi ve bu olgular kateter anjiografi uygulanmadan medikal tedavi altında takibe alındılar. Nefes tutmalı kontrastlı renal manyetik rezonans anjiografi, özellikle otomatik enjektör kullanımı elde olunduğunda, renal arter stenozlarını yüksek doğrulukta belirleyebilen noninvaziv bir tarama yöntemidir.
The purpose of this study was to evaluate the diagnostic role of three-dimensional magnetic resonance angiography in the detection of renal artery stenosis. Additionally, the results of magnetic resonance angiography were correlated with color Doppler sonographic findings. 25 patients with clinical suspicion of renovascular hypertension were examined with breath-hold, contrast-enhanced, three-dimensional magnetic resonance angiography and color Doppler sonography. In 5 patients, who had renal artery stenosis findings in magnetic resonance angiography and color Doppler sonography, digital subtraction angiography was performed. Breath-hold, contrast-enhanced, three dimensional magnetic resonance angiography, especially using with otomated injector, is a highly sensitive, noninvasive screening method for assesment of renovascular hypertension. In 36% of all patients, catheter angiographic examination was proposed, because this patients had renal artery stenosis findings in magnetic resonance angiography and color Doppler sonography. However, in the rest of the patients (64%), the renal artery and branches were normal in magnetic resonance angiography and color Doppler sonography. Zu This proup, catheter angiography was not performed and these patients were taken into follow-up under medical treatment.
The purpose of this study was to evaluate the diagnostic role of three-dimensional magnetic resonance angiography in the detection of renal artery stenosis. Additionally, the results of magnetic resonance angiography were correlated with color Doppler sonographic findings. 25 patients with clinical suspicion of renovascular hypertension were examined with breath-hold, contrast-enhanced, three-dimensional magnetic resonance angiography and color Doppler sonography. In 5 patients, who had renal artery stenosis findings in magnetic resonance angiography and color Doppler sonography, digital subtraction angiography was performed. Breath-hold, contrast-enhanced, three dimensional magnetic resonance angiography, especially using with otomated injector, is a highly sensitive, noninvasive screening method for assesment of renovascular hypertension. In 36% of all patients, catheter angiographic examination was proposed, because this patients had renal artery stenosis findings in magnetic resonance angiography and color Doppler sonography. However, in the rest of the patients (64%), the renal artery and branches were normal in magnetic resonance angiography and color Doppler sonography. Zu This proup, catheter angiography was not performed and these patients were taken into follow-up under medical treatment.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Ege Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
40
Sayı
3
