Renovascular Hypertension due to Takayasu's Arteritis Demonstrated by Tc-99m Ethylenedicysteine Captopril Scintigraphy

A 34-year-old woman with severe hypertension underwent Tc-99m ethylenedicycteine (Tc-99m EC) captopril renal scintigraphy. There was bilateral parenchymal retention of the tracer suggesting renal artery stenosis. Angiography confirmed bilateral renal artery stenosis and also demonstrated contour irr...

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Bibliographic Details
Published in:Clinical nuclear medicine 1996-09, Vol.21 (9), p.714-716
Main Authors: UĞUR, ÖMER, PEKSOY, [horizontal bar over]IRFAN, CANER, B[horizontal bar over]IRAY, ÇEKIRGE, SARUHAN, BALKANCI, FERHUN, BEKDIK, COSKUN
Format: Article
Language:English
Subjects:
Adult
Antihypertensive Agents
Biological and medical sciences
Blood and lymphatic vessels
Captopril
Cardiology. Vascular system
Cysteine - analogs & derivatives
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Hypertension, Renovascular - diagnostic imaging
Hypertension, Renovascular - etiology
Kidney - diagnostic imaging
Medical sciences
Organotechnetium Compounds
Radiography
Radionuclide Imaging
Renal Artery - diagnostic imaging
Renal Artery Obstruction - diagnostic imaging
Renal Artery Obstruction - etiology
Takayasu Arteritis - complications
Takayasu Arteritis - diagnostic imaging
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Summary:A 34-year-old woman with severe hypertension underwent Tc-99m ethylenedicycteine (Tc-99m EC) captopril renal scintigraphy. There was bilateral parenchymal retention of the tracer suggesting renal artery stenosis. Angiography confirmed bilateral renal artery stenosis and also demonstrated contour irregularities of the abdominal aorta, and stenosis in mesenteric and subclavian arteries with increased collateral circulation consistent with Takayasu's arteritis. In light of this case of renal artery stenosis, it was concluded that Tc-99m EC can be used successfully as a potential renal agent in the diagnosis of renal involvement in patients with Takayasu's arteritis.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199609000-00008