Role of the Multidetector CT Angiography in the Assessment of Renal Vascular Abnormalities
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- Category: Vol. 82, June 2014
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Role of the Multidetector CT Angiography in the Assessment of Renal Vascular Abnormalities, SHERIF F. ABD ELRAHMAN and REDA TABASHY
Abstract
Objective: To evaluate the role of the Multidetector Computed Tomographic (MDCT) angiography in the diagnosis and assessment of the common renal vascular abnormalities.
Patients and Methods: Between January 2012 and March 2013, 28 patients (19 males and 9 females) with clinical history and complains suggesting renovascular disease were examined by MDCT renal angiography. Resistant hypertension was the main complain in 13 patients. Hematuria was the main complain in 11 patients. Loin pain was present in 11 patients and varicocele in 4 patients.
Results: Eight patients had atherosclerotic renal artery stenosis (RAS). One patient had fibromuscular dysplasia (FMD). One patient had polyarteritis nodosa (PAN) with bilateral intrarenal micro-aneurysms and right renal infarcts. Three patients diagnosed to have renal artery arteritis with renal artery stenosis and renal infarcts. One patient had renal artery aneurysm. Three patients had renal arteriovenous fistula (AVF), two congenital and the other occurred post biopsy. Three cases diagnosed to have uretero-pelvic junction obstruc-tion, due to crossing accessory vessels on each side. One patient had arterio-pelvic postoperative fistula. Five patients had nutcracker syndrome. One patient had renal vein pseudoa-neurysm after stab injury and one patient had malignant renal vein thrombosis.
Conclusion: Multidetector Computed Tomographic (MDCT) angiography is an essential diagnostic tool in the diagnosis and assessment of the common renal vascular abnormalities.