Ingrisch H, Holzgreve H, Sommer B, Westerburg K W, Frey K W
Rofo. 1980 Apr;132(4):422-7. doi: 10.1055/s-2008-1056590.
The aorta and renal arteries, as far as their intrarenal branches, can be demonstrated in the course of an excretion urogram if the contrast medium (1 ml/kg body weight, maximum 60 ml) is injected at a flow rate of 10 to 15 ml/sec (Bolus technique). The intravenous bolus injection was carried out in 180 patients without any significant complications. In order to obtain the correct timing on a single film it is necessary to determine the circulation time from the arm vein to the abdominal aorta in each individual. The addition of 0.2 to 0.3 mCi 99mTc to the contrast medium makes it possible to determine the circulation time accurately. This varied from 9 to 22 seconds. By using tomography with 1 cm cuts and a 4.5 cm format, it was possible to show the left or right renal arteries from the aorta to their intrarenal branches in 82% patients. In 126 (70%) of the 180 patients, both renal arteries were demonstrated. The demonstration of renal arteries during the course of an excretion urogram represents an advance on the conventional technique. The indications are discussed.
在排泄性尿路造影过程中，如果以10至15毫升/秒的流速（团注技术）注射造影剂（1毫升/千克体重，最大60毫升），就可以显示主动脉和肾动脉及其肾内分支。对180例患者进行了静脉团注注射，未出现任何严重并发症。为了在单张胶片上获得正确的时机，有必要确定每位患者从手臂静脉到腹主动脉的循环时间。在造影剂中加入0.2至0.3毫居里的99mTc可以准确确定循环时间。循环时间在9至22秒之间。通过使用层厚1厘米、片幅4.5厘米的断层摄影，82%的患者可以显示从主动脉到其肾内分支的左或右肾动脉。180例患者中有126例（70%）显示了双侧肾动脉。在排泄性尿路造影过程中显示肾动脉是对传统技术的一项改进。文中讨论了其适应证。
