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Pediatric Radiology

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01.04.2013 | Pictorial Essay

The role of CT angiography in the evaluation of pediatric renovascular hypertension

verfasst von: Jessica Kurian, Monica Epelman, Kassa Darge, Kevin Meyers, Els Nijs, Jeffrey C. Hellinger

Erschienen in: Pediatric Radiology | Ausgabe 4/2013

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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.

Bayazit AK, Yalcinkaya F, Cakar N et al (2007) Reno-vascular hypertension in childhood: a nationwide survey. Pediatr Nephrol 22:1327–1333PubMedCrossRef

Bartosh SM, Aronson AJ (1999) Childhood hypertension. An update on etiology, diagnosis, and treatment. Pediatr Clin N Am 46:235–252CrossRef

Dillon MJ (1997) The diagnosis of renovascular disease. Pediatr Nephrol 11:366–372PubMedCrossRef

Stanley JC, Criado E, Upchurch GR Jr et al (2006) Pediatric renovascular hypertension: 132 primary and 30 secondary operations in 97 children. J Vasc Surg 44:1219–1228PubMedCrossRef

Ghabril R (2010) Renovascular hypertension in children. J Med Liban 58:146–148PubMed

Tullus K, Brennan E, Hamilton G et al (2008) Renovascular hypertension in children. Lancet 371:1453–1463PubMedCrossRef

Srinivasan A, Krishnamurthy G, Fontalvo-Herazo L et al (2011) Spectrum of renal findings in pediatric fibromuscular dysplasia and neurofibromatosis type 1. Pediatr Radiol 41:308–316PubMedCrossRef

Srinivasan A, Krishnamurthy G, Fontalvo-Herazo L et al (2010) Angioplasty for renal artery stenosis in pediatric patients: an 11-year retrospective experience. J Vasc Interv Radiol 21:1672–1680PubMedCrossRef

McTaggart SJ, Gulati S, Walker RG et al (2000) Evaluation and long-term outcome of pediatric renovascular hypertension. Pediatr Nephrol 14:1022–1029PubMedCrossRef

10.

Tullus K (2011) Renal artery stenosis: is angiography still the gold standard in 2011? Pediatr Nephrol 26:833–837PubMedCrossRef

11.

Vo NJ, Hammelman BD, Racadio JM et al (2006) Anatomic distribution of renal artery stenosis in children: implications for imaging. Pediatr Radiol 36:1032–1036PubMedCrossRef

12.

Miksys N, Gordon CL, Thomas K et al (2010) Estimating effective dose to pediatric patients undergoing interventional radiology procedures using anthropomorphic phantoms and MOSFET dosimeters. AJR Am J Roentgenol 194:1315–1322PubMedCrossRef

13.

Glockner JF, Vrtiska TJ (2007) Renal MR and CT angiography: current concepts. Abdom Imaging 32:407–420PubMedCrossRef

14.

Sabharwal R, Vladica P, Coleman P (2007) Multidetector spiral CT renal angiography in the diagnosis of renal artery fibromuscular dysplasia. Eur J Radiol 61:520–527PubMedCrossRef

15.

Cho E-S, Yu J-S, Ahn J-H et al (2012) CT angiography of the renal arteries: comparison of lower-tube-voltage CTA with moderate-concentration iodinated contrast material and conventional CTA. AJR Am J Roentgenol 199:96–102PubMedCrossRef

16.

Vade A, Agrawal R, Lim-Dunham J et al (2002) Utility of computed tomographic renal angiogram in the management of childhood hypertension. Pediatr Nephrol 17:741–747PubMedCrossRef

17.

Hellinger JC, Pena A, Poon M et al (2010) Pediatric computed tomographic angiography: imaging the cardiovascular system gently. Radiol Clin N Am 48:439–467PubMedCrossRef

18.

Boone JM, Strauss KJ, Cody DD et al (2011) Report of AAPM Task Group 204. Size-specific dose estimates (SSDE) in pediatric and adult body CT examinations. Available via http://www.aapm.org/pubs/reports/rpt_204.pdf. Accessed 15 Oct 2012

19.

Epelman M, Kreiger PA, Servaes S et al (2010) Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MR 31:141–157PubMedCrossRef

20.

Fleischmann D, Kamaya A (2009) Optimal vascular and parenchymal contrast enhancement: the current state of the art. Radiol Clin N Am 47:13–26PubMedCrossRef

21.

Kalva SP, Sahani DV, Hahn PF et al (2006) Using the K-edge to improve contrast conspicuity and to lower radiation dose with a 16-MDCT: a phantom and human study. J Comput Assist Tomogr 30:391–397PubMedCrossRef

22.

Hellinger JC, Medina LS, Epelman M (2010) Pediatric advanced imaging and informatics: state of the art. Semin Ultrasound CT MR 31:171–193PubMedCrossRef

23.

Cody DD (2002) AAPM/RSNA physics tutorial for residents: topics in CT. Image processing in CT. Radiographics 22:1255–1268PubMed

24.

Fishman EK, Ney DR, Heath DG et al (2006) Volume rendering versus maximum intensity projection in CT angiography: what works best, when, and why. Radiographics 26:905–922PubMedCrossRef

25.

Slovut DP, Olin JW (2004) Fibromuscular dysplasia. N Engl J Med 350:1862–1871PubMedCrossRef

26.

Das C, Neyaz Z, Thapa P et al (2007) Fibromuscular dysplasia of the renal arteries: a radiological review. Int Urol Nephrol 39:233–238PubMedCrossRef

27.

Fossali E, Signorini E, Intermite RC et al (2000) Renovascular disease and hypertension in children with neurofibromatosis. Pediatr Nephrol 14:806–810PubMedCrossRef

28.

Hamilton SJ, Friedman JM (2000) Insights into the pathogenesis of neurofibromatosis 1 vasculopathy. Clin Genet 58:341–344PubMedCrossRef

29.

Riccardi VM (2000) The vasculopathy of NF1 and histogenesis control genes. Clin Genet 58:345–347PubMedCrossRef

30.

Connolly B, Kelehan P, O’Brien N et al (1994) The echogenic thalamus in hypoxic ischaemic encephalopathy. Pediatr Radiol 24:268–271PubMedCrossRef

31.

Connolly JE, Wilson SE, Lawrence PL et al (2002) Middle aortic syndrome: distal thoracic and abdominal coarctation, a disorder with multiple etiologies. J Am Coll Surg 194:774–781PubMedCrossRef

32.

Delis KT, Gloviczki P (2005) Middle aortic syndrome: from presentation to contemporary open surgical and endovascular treatment. Perspect Vasc Surg Endovasc Ther 17:187–203PubMedCrossRef

33.

Rose C, Wessel A, Pankau R et al (2001) Anomalies of the abdominal aorta in Williams-Beuren syndrome—another cause of arterial hypertension. Eur J Pediatr 160:655–658PubMed

34.

Radford DJ, Pohlner PG (2000) The middle aortic syndrome: an important feature of Williams’ syndrome. Cardiol Young 10:597–602PubMedCrossRef

35.

Pober BR, Lacro RV, Rice C et al (1993) Renal findings in 40 individuals with Williams syndrome. Am J Med Genet 46:271–274PubMedCrossRef

36.

Salerno AE, Marsenic O, Meyers KE et al (2010) Vascular involvement in tuberous sclerosis. Pediatr Nephrol 25:1555–1561PubMedCrossRef

37.

Gulati A, Bagga A (2010) Large vessel vasculitis. Pediatr Nephrol 25:1037–1048PubMedCrossRef

38.

Visrutaratna P, Srisuwan T, Sirivanichai C (2009) Pediatric renovascular hypertension in Thailand: CT angiographic findings. Pediatr Radiol 39:1321–1326PubMedCrossRef

39.

Gotway MB, Araoz PA, Macedo TA et al (2005) Imaging findings in Takayasu’s arteritis. AJR Am J Roentgenol 184:1945–1950PubMedCrossRef

Titel: The role of CT angiography in the evaluation of pediatric renovascular hypertension
verfasst von: Jessica Kurian
Monica Epelman
Kassa Darge
Kevin Meyers
Els Nijs
Jeffrey C. Hellinger
Publikationsdatum: 01.04.2013
Verlag: Springer-Verlag
Erschienen in: Pediatric Radiology / Ausgabe 4/2013
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-012-2567-z

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