Recommendations for ultrasonographic assessment of renal arteries

The present clinical practice recommendations are addressed to physicians of all specialties, who perform Doppler ultrasound examinations of the kidneys on a daily basis, and in particular to specialists in radiology and imaging diagnostics. The recommendations were based on the Ultrasonography St...

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Main Authors: Anna Drelich-Zbroja, Maryla Kuczyńska, Łukasz Światłowski, Anna Szymańska, Michał Elwertowski, Agnieszka Marianowska
Format: Article
Language:English
Published: Sciendo 2018-12-01
Series:Journal of Ultrasonography
Subjects:
Online Access:http://jultrason.pl/index.php/issues/volume-18-no-75/recommendations-for-ultrasonographic-assessment-of-renal-arteries?aid=681
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author Anna Drelich-Zbroja
Maryla Kuczyńska
Łukasz Światłowski
Anna Szymańska
Michał Elwertowski
Agnieszka Marianowska
author_facet Anna Drelich-Zbroja
Maryla Kuczyńska
Łukasz Światłowski
Anna Szymańska
Michał Elwertowski
Agnieszka Marianowska
author_sort Anna Drelich-Zbroja
collection DOAJ
description The present clinical practice recommendations are addressed to physicians of all specialties, who perform Doppler ultrasound examinations of the kidneys on a daily basis, and in particular to specialists in radiology and imaging diagnostics. The recommendations were based on the Ultrasonography Standards of the Polish Ultrasound Society and current scientific reports consistent with Evidence Based Medicine. The paper discusses patient preparation protocol, examinat ion technique with particular emphasis on patient’s position allowing to obtain proper Doppler angle of insonation, as well as diagnostic limitations of the technique. Normal blood flow parameters as well as those indicating hemodynamically significant stenosis are also presented. Although the 2013–2014 American guidelines for renal artery duplex sonography (AIUM Practice Parameter for the Performance of Native Renal Artery Duplex Sonography and AIUM Practice Guideline for the Performance of an Ultrasound Examination of Solid-Organ Transplants), which were the basis for many national recommendations, have not been significantly updated to date, a large body of scientific research indicates the need for revision of current Doppler ultrasound standards and parameters, particularly for patients receiving endovascular treatment due to renovascular hypertension. Therefore, the paper refers to the current issue of ultrasound scan interpretation in patients receiving endovascular stenting, after transplantation of kidney, as well as in pediatric patients.
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spelling doaj.art-dd37532f0ff74a079bd97014996c3f6c2022-12-22T02:06:11ZengSciendoJournal of Ultrasonography2084-84042451-070X2018-12-01187533834310.15557/JoU.2018.0049Recommendations for ultrasonographic assessment of renal arteriesAnna Drelich-Zbroja0Maryla Kuczyńska1Łukasz Światłowski2Anna Szymańska3Michał Elwertowski4Agnieszka Marianowska5Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, PolandDepartment of Diagnostic Imaging, the Second Faculty of Medicine, Medical University of Warsaw, Warsaw, PolandDepartment of General Surgery and Endocrinology, Medical University of Warsaw, PolandThe present clinical practice recommendations are addressed to physicians of all specialties, who perform Doppler ultrasound examinations of the kidneys on a daily basis, and in particular to specialists in radiology and imaging diagnostics. The recommendations were based on the Ultrasonography Standards of the Polish Ultrasound Society and current scientific reports consistent with Evidence Based Medicine. The paper discusses patient preparation protocol, examinat ion technique with particular emphasis on patient’s position allowing to obtain proper Doppler angle of insonation, as well as diagnostic limitations of the technique. Normal blood flow parameters as well as those indicating hemodynamically significant stenosis are also presented. Although the 2013–2014 American guidelines for renal artery duplex sonography (AIUM Practice Parameter for the Performance of Native Renal Artery Duplex Sonography and AIUM Practice Guideline for the Performance of an Ultrasound Examination of Solid-Organ Transplants), which were the basis for many national recommendations, have not been significantly updated to date, a large body of scientific research indicates the need for revision of current Doppler ultrasound standards and parameters, particularly for patients receiving endovascular treatment due to renovascular hypertension. Therefore, the paper refers to the current issue of ultrasound scan interpretation in patients receiving endovascular stenting, after transplantation of kidney, as well as in pediatric patients.http://jultrason.pl/index.php/issues/volume-18-no-75/recommendations-for-ultrasonographic-assessment-of-renal-arteries?aid=681Doppler ultrasoundrenal arterystenosispractice guideline
spellingShingle Anna Drelich-Zbroja
Maryla Kuczyńska
Łukasz Światłowski
Anna Szymańska
Michał Elwertowski
Agnieszka Marianowska
Recommendations for ultrasonographic assessment of renal arteries
Journal of Ultrasonography
Doppler ultrasound
renal artery
stenosis
practice guideline
title Recommendations for ultrasonographic assessment of renal arteries
title_full Recommendations for ultrasonographic assessment of renal arteries
title_fullStr Recommendations for ultrasonographic assessment of renal arteries
title_full_unstemmed Recommendations for ultrasonographic assessment of renal arteries
title_short Recommendations for ultrasonographic assessment of renal arteries
title_sort recommendations for ultrasonographic assessment of renal arteries
topic Doppler ultrasound
renal artery
stenosis
practice guideline
url http://jultrason.pl/index.php/issues/volume-18-no-75/recommendations-for-ultrasonographic-assessment-of-renal-arteries?aid=681
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