ArticlePediatric radiology2014
Renal sonography with Doppler for detecting suspected pediatric renin-mediated hypertension - is it adequate?
Article in Pediatric radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Hypertension in Children and Adolescents: A Position Statement From a Panel of Multidisciplinary Experts Coordinated by the French Society of Hypertension.Frontiers in pediatrics · 2021Pooled it
- Cardiovascular Assessments in Children and Adolescents With Hypertension.Reviews in cardiovascular medicine · 2025Review
- Approach to pediatric renovascular hypertension.Childhood kidney diseases · 2025Review
- Pediatric Renovascular Hypertension: Diagnosis and Management.Seminars in interventional radiology · 2025Review
- Secondary Hypertension in Children-Identifying and Investigating at Risk Children.Current hypertension reports · 2025Review
- Clinical guidelines for the diagnosis, evaluation, and management of hypertension for Korean children and adolescents: the Korean Working Group of Pediatric Hypertension.Kidney research and clinical practice · 2025Article
- Pediatric Hypertension: A Condition That Matters.Children (Basel, Switzerland) · 2024Review
- Renovascular hypertension in pediatric patients: update on diagnosis and management.Pediatric nephrology (Berlin, Germany) · 2021Review
- Renovascular hypertension in children.CVIR endovascular · 2021Review
- Pediatric hypertension: an updated review.Clinical hypertension · 2020Review
- Does treatment-resistant hypertension exist in children? A review of the evidence.Pediatric nephrology (Berlin, Germany) · 2020Review
- Hypertensive Crisis in Pediatric Patients: An Overview.Frontiers in pediatrics · 2020Review
- Evaluation and Management of Stage 2 Hypertension in Pediatric Patients.Current hypertension reports · 2018Review
- Ultrasound imaging of renin-mediated hypertension.Pediatric radiology · 2017Review
- Non-invasive imaging cannot replace formal angiography in the diagnosis of renovascular hypertension.Pediatric nephrology (Berlin, Germany) · 2017Article
- Reply to Drs. Brown and Karmazyn regarding the adequacy of renal sonography with Doppler in pediatric renovascular hypertension.Pediatric radiology · 2014Article
- Renal sonography with Doppler - not shown to be adequate as a screening tool for renovascular hypertension.Pediatric radiology · 2014Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRenal Doppler US is used to evaluate suspected vascular causes of hypertension in children, despite mostly unknown diagnostic performance characteristics.
objectiveTo evaluate renal Doppler US for detecting vascular causes of hypertension in children with high clinical suspicion of aortic or renal artery narrowing. MATERIALS AND
methodsWe identified pediatric renal Doppler US examinations performed for hypertension between January 1995 and June 2010 at our institution. We excluded children without follow-up angiography (CT-, MR-, or catheter-based). Two pediatric radiologists reviewed imaging studies and documented relevant findings. Intrarenal spectral Doppler resistive index measurement <0.5 or tardus parvus waveform constituted a positive examination.
resultsThirty-five boys and 13 girls underwent renal Doppler US and confirmatory imaging (mean age = 9.0 years). Nineteen US examinations were truly negative, two were falsely negative, 18 were truly positive (16 involved narrowing of the aorta or main renal artery) and nine were falsely positive. Sonography had a sensitivity and specificity of 90% and 68%, respectively, for detecting a vascular cause of hypertension.
conclusionRenal Doppler sonography reliably detects renin-mediated hypertension caused by aortic or main renal artery narrowing in children. More studies are needed to determine its ability to detect intrarenal and accessory renal artery stenoses.
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