J Korean Radiol Soc.
1978 Dec;14(2):332-341. 10.3348/jkrs.1978.14.2.332.
Selective renal arteriography in renal diseases
- KMID: 2349438
- DOI: http://doi.org/10.3348/jkrs.1978.14.2.332
Abstract
- Renal arteriography was greatly advanced in 1953 by Seldinger with development of the percutaneous method of trans-femoral arterial catheterization. In the past, selective renal arteriography has been used principly indiagnosis of surgical disease rather than those medical diseases. But now many information is available regarding the vascular disease, pyelonephritis, glomerulonephritis and renal tuberculosis, particularly with regard tochanges in the small renal arteries. Total 44 cases of selective renal arteriography were reviewed at Yonsei University College of Medicine, Severance Hospital. Summary of these were as follows; 1. In total 44 cases, normalwere 9 cases , and others were abnormal. 2. In abnormal 35 cases, these were 19 cases of space occupying lesion, 12 cases of inflammatory disease and others. A. Space occupying lesion; 1) Renal cell Ca. (6 cases); The 2 cases were diagnosed, by the way of IVP but on the arteriography all cases showed abnormal tumor vessesl and 4 casesshowed arteriovenous shunt. 2) pelvis Ca. (6 cases) ; IVP revealed non-visualization in all cases and subsequent RGP demonstrated irregular filling defect or obstruction at renal pelvis in all cases. The selective renalarteriogram revealed fine neovascularity (3 cases) and prominent ureteropelvic artery(4 cases). 3) renal cysticdiseaes(7 cases); Definite diagnosis was made in only 2 cases with IVP, but in all cases with arteriography. B. Inflammatory disease; 1) chronic pyelonephritis (8 cases): Arteriography showed crowed and tortous interlobararteris. The nephrographic phase revealed scarring change of renal cortex with inhomogenous nephrogram in 6 cases.2) renal tuberculosis(4 cases); When only small tbc. foci are present, a normal arteriographic pattern is noted. More extensive case(2 cases) with loss of normal parenchyme produce a tortous and beaded appearance of interlobararteries. When destruction is exten
