摘要: Wenn klinische Zeichen das Vorliegen einer Nierenarterienstenose vermuten lassen, werden Screeningverfahren eingesetzt, um den Verdacht zu erharten. Idealerweise sollte ein nicht nur sichern, sondern auch eine Aussage zur ihrer funktionellen Relevanz ermoglichen. Gebrauchliche (sortiert nach steigenden Kosten) sind die farbkodierte Doppler-Sonographie, Captopril-Szintigraphie, Spiral CT und MR-Angiographie. Die intraarterielle digitale Subtraktionsangiographie aufgrund der Invasivitat Therapie aber reinen Diagnostik eingesetzt werden. Zur Detektion konnen alle genannten Verfahren werden, bei Niereninsuffizienz im Stadium III hoher wird Doppler-Sonographie praferiert. funktionelle Stenose (renovaskulare Hypertonie Azotamie) kann eventuell mit (Widerstandindex) abgeschatzt Daten noch widerspruchlich.
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