Captopril-Augmented Renal Scan

Goto, Atsuo; Kawauchi, Nobuo
February 2001
New England Journal of Medicine;02/08/2001, Vol. 344 Issue 6, p430
Academic Journal
Case Study
The article presents the case study of a 22-year-old woman, who was suffering from stenosis of renal artery. She had hypertension for one year. Her only symptom was an occasional headache. The electrocardiogram was normal. Renal scanning showed less uptake of the tracer in the left kidney than in the right. The patient was then given 25 mg of captopril orally, and renal scanning was repeated one hour later. The scintigraphic images also suggested the presence of stenosis of the left renal artery. Angiography revealed stenosis in the midportion of the left renal artery and in the anterior division of the left renal artery. The patient's blood pressure returned to normal within three hours of angioplasty and has remained normal for three years.


Related Articles

  • Warfarin.  // Reactions Weekly;5/27/2006, Issue 1103, p14 

    The article discusses 7 cases where subjects developed renal and retroperitoneal hemorrhage associated with warfarin treatment for several issues including prosthetic cardiac valve replacement, atrial fibrillation an deep vein thrombosis.

  • Hyponatremia and polyuria in an older woman. Afra, Kevin; James, Matthew T. // CMAJ: Canadian Medical Association Journal;9/3/2013, Vol. 185 Issue 12, p1055 

    The article describes the case of a 77-year-old woman who was diagnosed with hyponatremia and polyuria secondary to unilateral stenosis of the renal artery. Her symptoms included malaise, vomiting, and decreased oral intake. Findings on presentation included hypertension, hypovolemia, and an...

  • Acetylcysteine and Nephrotoxic Effects of Radiographic Contrast Agents — A New Use for an Old Drug. Safirstein, Robert; Andrade, Lúcia; Vieira, José M. // New England Journal of Medicine;07/20/2000, Vol. 343 Issue 3, p210 

    The article discusses the nephrotoxicity of radiographic contrast agent Acetylcysteine. Nephrotoxicity of radiographic contrast agents is an important cause of acute renal failure even when measures are taken to reduce these toxic effects. Prevention or mitigation of renal failure after the...

  • Spectrum of renal findings in pediatric fibromuscular dysplasia and neurofibromatosis type 1. Srinivasan, Abhay; Krishnamurthy, Ganesh; Fontalvo-Herazo, Lucia; Nijs, Els; Meyers, Kevin; Kaplan, Bernard; Cahill, Anne-Marie // Pediatric Radiology;Mar2011, Vol. 41 Issue 3, p308 

    Background: Fibromuscular dysplasia (FMD) and neurofibromatosis type 1 (NF1) are the most common causes of pediatric renal artery stenosis (RAS) in western countries, and characterization of their angiographic features could aid in an accurate diagnosis and in treatment. Objective: This study...

  • Mayo Clinic Researchers Find Significant Renal Artery Stenosis Among Hypertensive Patients.  // Ascribe Newswire: Medicine;4/9/2002, p15 

    The article focuses on a study published in the April 2002 issue of the medical journal "Mayo Clinic Proceedings," by Mayo Clinic researchers, which found significant renal artery stenosis among hypertensive patients. They found a significant prevalence (19 percent) of renal artery narrowing...

  • Severe hypertension due to renal polar artery stenosis in an adolescent treated with coil embolization. Docx, Martine K.; Vandenberghe, Philippe; Maleux, Geert; Gewillig, Marc; Mertens, Luc // Pediatric Radiology;Nov2009, Vol. 39 Issue 11, p1234 

    A 12-year-old boy presented with severe arterial hypertension due to a severe subsegmental renal artery stenosis. Treatment consisted of selective embolization of the stenosed polar artery, which resulted in near normalization of the arterial pressures. Renal artery stenosis should always be...

  • Use of a Mixture of Gadolinium and Iodinated Contrast for Angiography. Badiola, Carlos M. // CardioVascular & Interventional Radiology;Mar/Apr2004, Vol. 27 Issue 2, p148 

    The purpose of this study was to determine if the image quality of gadolinium digital subtraction angiography (DSA) can be improved by the addition of small quantities of iodinated contrast to gadolinium. The optical density (OD) of a mixture of four parts gadolinium-based contrast to one part...

  • Etretinate.  // Reactions Weekly;Aug2014, Vol. 1516 Issue 1, p86 

    An abstract of the article "Hyperkeratotic variant of inflammatory disseminated superficial porokeratosis with lichenoid reaction and extensive amyloid deposition," by M. Inazawa and colleagues is presented.

  • Renovascular Hypertension Treated by Renal Artery Embolization. Jeong Ju Lee; Ki Soo Pai; Jae Il Shin; Se Jin Park // Yonsei Medical Journal;Jan2014, Vol. 55 Issue 1, p273 

    Renovascular hypertension is caused by narrowing of the arteries supplying the kidneys. There are several methods to treat renal artery stenosis, such as medications, percutaneous transluminal renal angioplasty, and atherosclerosis. A boy presented to our hospital with severe hypertension....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics