Published in:
01-03-2021 | Renal Artery Stenosis | Commentary
Computed tomography angiography for renal artery stenosis in children: a flip flop isn’t always bad
Author:
James S. Donaldson
Published in:
Pediatric Radiology
|
Issue 3/2021
Login to get access
Excerpt
In this issue of
Pediatric Radiology, Orman et al. [
1] present their experience with Computed Tomography Angiography (CTA) for renal artery stenosis in children. I commend the authors for evaluating CTA and digital subtraction angiography (DSA) and helping clarify the indications for each. There has long been suspicion that CTA is not adequate as a screening or diagnostic tool. The authors have shown that CTA had a sensitivity of 90.0% and specificity of 89.7% for the diagnosis of renal artery stenosis (RAS). They added that CTA diagnosed all cases of main renal artery stenosis — an important point. The lesions that were missed were in smaller intra-renal vessels. …