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Renovascular hypertension: Predicting surgical cure with exercise renography
Thomas Hupp, MD, John H. Clorius, MD, Jens R. Allenberg, MD Journal of Vascular Surgery Volume 14, Issue 2, Pages (August 1991) DOI: /mva Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 Sequential scintigrams of a 60-year-old female patient, obtained with the patient in the prone position at rest and during exercise on a bicycle ergometer while sitting upright. The patient had a vascular stenosis of the right kidney. The examination at rest documents the reduction of single kidney function on the right side, as well as timely tracer excretion into the renal pelvis and bladder (fourth minute), and a regular tissue clearance of the tracer. The abnormal exercise renogram demonstrates a bilateral transrenal hippurate transport disturbance identified by the elevated excretory segment of the renogram, by hippurate retention in the renal tissue, and delayed excretion of hippurate into the bladder (twentieth minute). Note: unilateral vascular disease is associated with a bilateral function abnormality during exercise. Journal of Vascular Surgery , DOI: ( /mva ) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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