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Ultrasound imaging of renin-mediated hypertension

  • Pediatric Ultrasound
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Abstract

The incidence of primary (i.e. essential) hypertension in children and adolescents is increasing; however, secondary hypertension, with an identifiable cause, remains relatively common and might be treatable or even curable. Renovascular hypertension is an uncommon but important secondary cause of hypertension in the pediatric population that can be associated with substantial morbidity. In this article we discuss renin-mediated causes of hypertension in children and related complications, review renal Doppler ultrasound techniques for the evaluation of renin-mediated hypertension (including both direct and indirect assessments), and briefly appraise the literature pertaining to renal Doppler ultrasound and the assessment of pediatric hypertension. Finally, we describe a proposed role for renal Doppler ultrasound in the workup of suspected renin-mediated hypertension in children and adolescents.

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Authors and Affiliations

  1. Department of Radiology, Division of Thoracoabdominal Imaging, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA

    Jonathan R. Dillman & Brian D. Coley

  2. Section of Pediatric Radiology, C. S. Mott Children’s Hospital, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA

    Ethan A. Smith

Authors
  1. Jonathan R. Dillman
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  2. Ethan A. Smith
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  3. Brian D. Coley
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Correspondence to Jonathan R. Dillman.

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Conflicts of interest

The authors have no financial interests, investigational or off-label uses to disclose. Dr. Dillman has unrelated ultrasound research funding from Toshiba America Medical Systems and Siemens Healthineers.

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Dillman, J.R., Smith, E.A. & Coley, B.D. Ultrasound imaging of renin-mediated hypertension. Pediatr Radiol 47, 1116–1124 (2017). https://doi.org/10.1007/s00247-017-3840-y

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  • DOI: https://doi.org/10.1007/s00247-017-3840-y

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