Use of the Rapid-Sequence Intravenous Pyelogram in the Diagnosis of Renovascular Hypertension

Abstract

FOR the past several years there has been considerable interest in hypertension secondary to occlusive disease of the renal arteries. This may be ascribed to the development of newer diagnostic technics, particularly arteriography, during a period when there were concomitant rapid advances in the field of reconstructive vascular surgery. Thus, the preferential operative procedure for renovascular hypertension is now considered to be arterial reconstructive surgery, rather than nephrectomy.1 Although as recently as 1956 Smith2 estimated the maximal incidence of surgically treatable renal hypertension to be 2 per cent of all hypertensive patients a more reasonable figure, which is in accord . . .