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Pediatric renovascular hypertension in Thailand: CT angiographic findings

Pannee Visrutaratna1, Tanop Srisuwan, Chusak Sirivanichai

  • 1Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. pvisruta@gmail.com

Pediatric Radiology
|August 18, 2009
PubMed

Insights

Computed tomography angiography (CTA) aids in diagnosing renovascular hypertension in children. This imaging technique is valuable for identifying causes like Takayasu arteritis and renal artery stenosis in pediatric patients.

Area of Science:

  • Pediatric Nephrology
  • Vascular Imaging
  • Hypertension Management

Background:

  • Renovascular disease is a rare but significant cause of hypertension in children.
  • Untreated renovascular hypertension can lead to severe complications in pediatric patients.

Purpose of the Study:

  • To investigate the causes of renovascular hypertension in children and adolescents.
  • To analyze computed tomography angiographic (CTA) findings associated with pediatric renovascular hypertension.

Main Methods:

  • Review of 28 CTAs from January 2004 to March 2008.
  • Analysis of data from 23 hypertensive children and adolescents.
  • Evaluation of CTA for identifying causes and findings of renovascular hypertension.

Main Results:

  • 39% of pediatric patients exhibited abnormal renal arteries or abdominal aortas.
  • Identified causes included Takayasu arteritis, moyamoya disease, median arcuate ligament syndrome, and renal artery stenosis.
  • One case revealed a ganglioneuroma presenting as a suprarenal mass.

Conclusions:

  • CTA is a useful diagnostic tool for renovascular hypertension in children and adolescents.
  • While not a screening tool, CTA is appropriate for specific clinical situations in pediatric hypertension evaluation.
Abstract

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