(精编)An Important Cause of Hypertension教学课件.pptVIP

Doppler US useful in adults, but is very operator-dependant. Increased blood velocity as blood passes through a narrow lumen is indicative of significant renal artery stenosis. However, even in experienced hands, identifying and localising a lesion is challenging and time-consuming and a negative study may not be definitive. In particular, branch and accessory artery stenoses are very difficult to demonstrate with doppler ultrasound, which make up the majority of lesions in the paediatric population. Measurement of plasma renin activity looks at the consequences of renal artery stenosis. Not