Neufang K F, Degenhardt S, Mödder U
Radiologisches Institut, Universität zu Köln.
Rofo. 1987 Sep;147(3):257-61. doi: 10.1055/s-2008-1048635.
Using optimal equipment and an adequate examination technique, renal venous DSA for renal artery stenosis is today a diagnostic procedure in 98% of cases. Its sensitivity equals 85%, its specificity reaches 95%. Comparing accuracies and positive predictive values, renal venous DSA is superior to radionuclide studies. Pre-selection of patients with captopril as a pharmacologic test is expected to increase the predictive values of renal venous DSA and to confirm the hemodynamic significance of an angiographically detected renal artery stenosis.
使用最佳设备和适当的检查技术,如今肾静脉数字减影血管造影术(DSA)用于诊断肾动脉狭窄的病例占98%。其敏感性为85%,特异性达95%。在比较准确性和阳性预测值方面,肾静脉DSA优于放射性核素检查。以卡托普利作为药理试验对患者进行预筛选,有望提高肾静脉DSA的预测值,并证实血管造影检测到的肾动脉狭窄的血流动力学意义。