Uğur O, Peksoy I, Caner B, Cekirge S, Balkanci F, Bekdik C
Department of Nuclear Medicine, Hacettepe University Medical Center, Ankara, Turkey.
Clin Nucl Med. 1996 Sep;21(9):714-6. doi: 10.1097/00003072-199609000-00008.
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.
一名患有严重高血压的34岁女性接受了锝-99m乙二巯丁二酸（Tc-99m EC）卡托普利肾闪烁扫描。示踪剂在双侧肾实质内潴留，提示肾动脉狭窄。血管造影证实双侧肾动脉狭窄，同时显示腹主动脉轮廓不规则，肠系膜动脉和锁骨下动脉狭窄，侧支循环增加，符合高安动脉炎。鉴于该例肾动脉狭窄病例，得出结论：Tc-99m EC可成功用作潜在的肾脏显像剂，用于诊断高安动脉炎患者的肾脏受累情况。
