Renographic diagnosis of renovascular hypertension with angiotensin converting enzyme inhibition and furosemide

Am J Hypertens. 1991 Dec;4(12 Pt 2):706S-710S. doi: 10.1093/ajh/4.12.706s.

Abstract

Captopril renography is a powerful tool for evaluating renovascular hypertension. In this article we examine four different protocols: 99mTc-DTPA, [131I]hippuran with captopril, [131I]hippuran with enalaprilat, and 99mTc-mercaptoacetyltriglycine (MAG3). In our experience, [131I]hippuran renograms are a reliable and reproducible test in patients both with and without azotemia. Although our experience with the new 99mTc-MAG3 technique is somewhat limited, it appears that this will also be a valuable test, which additionally has several advantages over hippuran, namely, a smaller turnaround time between test and baseline study, a smaller dose of radioactivity, better images, and more accurate counts. We look forward to the future development of this technique.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angioplasty, Balloon
  • Angiotensin-Converting Enzyme Inhibitors*
  • Clinical Protocols
  • Furosemide*
  • Humans
  • Hypertension, Renovascular / diagnostic imaging*
  • Hypertension, Renovascular / therapy
  • Iodine Radioisotopes
  • Iodohippuric Acid
  • Oligopeptides
  • Organotechnetium Compounds
  • Radiography
  • Radioisotope Renography / methods*
  • Renal Artery / diagnostic imaging
  • Technetium Tc 99m Mertiatide

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Iodine Radioisotopes
  • Oligopeptides
  • Organotechnetium Compounds
  • Iodohippuric Acid
  • Technetium Tc 99m Mertiatide
  • Furosemide