Abstract
Renovascular disease (RVD) is an important but uncommon cause of hypertension in children, accounting for about 10% of cases (Gill et. al 1976; Deal et al. 1992; Wyszynska et al. 1992). Renal pathology is the cause of hypertension in over 90% of children after 1 year of age; under 1 year of age, coarctation of the aorta is more common. The more severe the hypertension and the younger the child, then the more likely it is to be secondary hypertension. RVD is now well recognized in paediatrics, but the etiology and management is very different to adult practice (Sadowski and Falkner 1996).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Brun P, Kchouk H, Mouchet B et al (1997) Value of Doppler ultrasound for the diagnosis of renal artery stenosis in children. Pediatr Nephrol 11:27–30
Cheung WS, Wong KN, Wong YC, Ma KM (2004) Segmental renal artery stenosis diagnosed with captopril renography in a child. Pediatr Radiol 34:636–639
Deal JE, Snell MF, Barratt TM, Dillon MJ (1992) Renovascular disease in childhood. J Pediatr 121:378–384
Gao J, Fisher A, Chung J (2006) Color duplex ultrasonography in detecting renal artery abnormalities in a patient with neurofibromatosis 1: a case report. Clin Imaging 30:140–142
Gill DG, Mendes de CB, Cameron JS, Joseph MC, Ogg CS, Chantler C (1976) Analysis of 100 children with severe and persistent hypertension. Arch Dis Child 51:951–956
Goonasekera CD, Dillon MJ (2000) Measurement and interpretation of blood pressure. Arch Dis Child 82:261–265
Minty I, Lythgoe MF, Gordon I (1993) Hypertension in paediatrics: can pre-and post-captopril technetium-99m dimercaptosuccinic acid renal scans exclude renovascular disease? Eur J Nucl Med 20:699–702
Ng CS, de Bruyn R, Gordon I (1997) The investigation of renovascular hypertension in children: the accuracy of radio-isotopes in detecting renovascular disease. Nucl Med Commun 18:1017–1028
Patriquin HB, Lafortune M, Jequier JC et al (1992) Stenosis of the renal artery: assessment of slowed systole in the downstream circulation with Doppler sonography. Radiology 184:479–485
Rosner B, Prineas RJ, Loggie JM, Daniels SR (1993) Blood pressure nomograms for children and adolescents, by height, sex, and age, in the United States. J Pediatr 123:871–886
Sadowski RH, Falkner B (1996) Hypertension in pediatric patients. Am J Kidney Dis 27:305–315
Shroff R, Roebuck DJ, Gordon I et al (2006) Angioplasty for renovascular hypertension in children: 20-year experience. Pediatrics 118:268–275
Teigen CL, Mitchell SE, Venbrux AC, Christenson MJ, McLean RH (1992) Segmental renal artery embolization for treatment of pediatric renovascular hypertension. J Vasc Interv Radiol 3:111–117
Tullus K, Brennan E, Hamilton G, Lord R, McLaren CA, Marks SD, Roebuck DJ (2007) Renovascular hypertension in children. Lancet (in press)
Vo NJ, Hammelman BD, Racadio JM, Strife CF, Johnson ND, Racadio JM (2006) Anatomic distribution of renal artery stenosis in children: implications for imaging. Pediatr Radiol 36:1032–1036
Wyszynska T, Cichocka E, Wieteska-Klimczak A, Jobs K, Januszewicz P (1992) A single pediatric center experience with 1,025 children with hypertension. Acta Paediatr 81:244–246
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hiorns, M.P., McLaren, C.A., Gordon, I. (2008). Renovascular Hypertension. In: Fotter, R. (eds) Pediatric Uroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33005-9_22
Download citation
DOI: https://doi.org/10.1007/978-3-540-33005-9_22
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-33004-2
Online ISBN: 978-3-540-33005-9
eBook Packages: MedicineMedicine (R0)