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Angiology
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Role of the Captopril Test in Renovascular Hypertension: A Case Report

J. Nortier

Department of Nephrology, Free University of Brussels

J.C. Wautrecht

Medico-Surgical Department of Vascular Diseases, Free University of Brussels

C. Delcour

Department of Radiology, Free University of Brussels

A. Schoutens

Department of Radio-Isotopes, Erasme Hospital, Free University of Brussels, Brussels, Belgium

J.P. Dereume

Medico-Surgical Department of Vascular Diseases, Free University of Brussels

This article reports the case of a rapidly severe stenosis of the right renal artery, causing uncontrolled hypertension. After failure of a percutaneous transluminal renal angioplasty, which provoked the thrombosis of the vessel, a surgical revascularization was performed after ± eighteen hours of renal ischemia. Blood pressure, blood urea nitrogen and serum creatinine returned to normal values. A dramatic improvement of the right renal function was attested at the hippuran scintigraphy after a dose test of captopril. The results of renographic studies obtained in this clinical case underline the role of the captopril radionuclide test in detection and follow-up after treatment of renovascular hypertension.

Angiology, Vol. 43, No. 11, 939-945 (1992)
DOI: 10.1177/000331979204301109
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