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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1995-5-18
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pubmed:abstractText |
Severe renal artery stenosis (RAS) is a relatively uncommon complication following renal transplantation but is a curable cause of hypertension which demands reliable early diagnosis to reduce morbidity, mortality and graft loss. Captopril renography has been used for a number of years as a method of detecting RAS mainly in native kidneys, with only a few studies concerning the transplant situation. Controversy still exists as to the diagnostic accuracy of this test and as to the most appropriate interpretation criteria with which to establish a positive result. This paper reports the evaluation of 26 captopril renography investigations on hypertensive renal transplant patients with a suspected diagnosis of RAS. Each renogram study was correlated with an arteriogram as the 'gold standard' which was undertaken within 28 days of the renography. A sensitivity of 92%, a specificity of 86% and an accuracy of 88% were achieved by including a consideration of the change in perfusion to the kidney between pre- and post-challenge studies. It is concluded that captopril renography is a useful screening test for the detection of transplant renal artery stenosis (TRAS).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0143-3636
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
949-52
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7715893-Captopril,
pubmed-meshheading:7715893-Evaluation Studies as Topic,
pubmed-meshheading:7715893-Humans,
pubmed-meshheading:7715893-Hypertension, Renovascular,
pubmed-meshheading:7715893-Kidney Transplantation,
pubmed-meshheading:7715893-Postoperative Complications,
pubmed-meshheading:7715893-Renal Artery,
pubmed-meshheading:7715893-Renal Artery Obstruction,
pubmed-meshheading:7715893-Sensitivity and Specificity,
pubmed-meshheading:7715893-Technetium Tc 99m Mertiatide,
pubmed-meshheading:7715893-Technetium Tc 99m Pentetate,
pubmed-meshheading:7715893-Time Factors
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pubmed:year |
1994
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pubmed:articleTitle |
The importance of the perfusion index in the evaluation of captopril renography for transplant renal artery stenosis.
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pubmed:affiliation |
Department of Renal Medicine, Riyadh Al Kharj Hospital Programme, Kingdom of Saudi Arabia.
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pubmed:publicationType |
Journal Article
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