Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-22T13:37:06.109Z Has data issue: false hasContentIssue false

Renal artery Doppler blood velocity waveforms in children with aortic coarctation

Published online by Cambridge University Press:  19 August 2008

Deborah M. Friedman
Affiliation:
From the Department of Pediatrics, New York University Medical Center, New York
Robert G. Schacht
Affiliation:
From the Department of Pediatrics, New York University Medical Center, New York
Monika Rutkowski
Affiliation:
From the Department of Pediatrics, New York University Medical Center, New York
Eugenie F. Doyle
Affiliation:
From the Department of Pediatrics, New York University Medical Center, New York
Delores Danilowicz
Affiliation:
From the Department of Pediatrics, New York University Medical Center, New York

Abstract

Noninvasive translumbar renal artery Doppler blood flow patterns were obtained in 20 normal children, 11 with successfully repaired coarctation, and eight with native or restenosed coarctation. Native or restenosed lesions result in decreased relative systolic velocity and prolonged acceleration time. After successful surgery, the renal flow returns to near normal. This technique may provide a useful tool to explore and predict hemodynamic and renal physiologic changes, and follow the course of therapy.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Marx, GR, Allen, HD. Accuracy and pitfalls of Doppler evaluation of the pressure gradient in aortic coarctation. J Am Coll Cardiol 1986; 7: 13791385.CrossRefGoogle ScholarPubMed
2.Shaddy, RE, Snider, AR, Silverman, NH, Lutin, W. Pulsed Doppler findings in patients with coarctation of the aorta. Circulation 1986; 73: 8288.CrossRefGoogle ScholarPubMed
3.Sanders, SP, MacPherson, D, Yeager, SB. Temporal flow velocity profile in the descending aorta in coarctation. J Am Coll Cardiol 1986; 7: 603609.CrossRefGoogle ScholarPubMed
4.Norris, CS, Barnes, RW. Renal artery flow velocity analysis: A sensitive measure of experimental and clinical renovascular resistance. J Surg Research 1984; 36: 230236.CrossRefGoogle ScholarPubMed
5.Norris, CS, Pfeiffer, JS, Rittgers, SE, Barnes, RW. Noninvasive evaluation of renal artery stenosis and renovascular resistance. J Vasc Surg 1984; 1: 192201.CrossRefGoogle ScholarPubMed
6.Handa, N, Fukunaga, R, Uehara, A, Etani, H, Yoneda, S, Kimura, K, Kamada, T. Echo-Doppler velocimeter in the diagnosis of hypertensive patients: The renal artery Doppler technique. Ultrasound Med Biol 1986; 12: 945952.CrossRefGoogle Scholar
7.Jenni, R, Vieli, A, Luscher, TF, Schneider, E, Vetter, W, Anliker, M. Combined two-dimensional ultrasound Doppler tech nique. New possibilities for the screening of renovascular and parenchymatous hypertension? Nephron 1986; 44 (Suppl): 24.CrossRefGoogle Scholar
8.Rittgers, SE, Norris, CS, Barnes, RW. Detection of renal artery stenosis: Experimental and clinical analysis of velocity wave forms. Ultrasound in Med & Biol 1985; 11: 523531.CrossRefGoogle Scholar
9.Greene, ER, Avasthi, PS, Hodges, JW. Noninvasive Doppler assessment of renal artery stenosis and hemodynamics. J Clin Ultrasound 1987; 15: 653659.CrossRefGoogle ScholarPubMed
10.Avasthi, PS, Voyles, WF, Greene, ER. Noninvasive diagnosis of renal artery stenosis by echo-Doppler velocimetry. Kidney International 1984; 25: 824829.CrossRefGoogle ScholarPubMed
11.Robertson, R, Murphy, A, Dubbins, PA. Renal artery stenosis: the use of duplex ultrasound as a screening technique. Br J Radiology 1988; 61: 196201.CrossRefGoogle ScholarPubMed
12.Dubbins, PA: Renal artery stenosis. Duplex Doppler evaluation. Br J Radiology 1986; 59: 225229.CrossRefGoogle ScholarPubMed
13.Handa, N, Fukunaga, R, Etani, H, Yoneda, S, Kimura, K, Kamada, T. Efficacy of echo-Doppler examination for the evaluation of renovascular disease. Ultrasound Med Biol 1988; 14: 15.CrossRefGoogle ScholarPubMed
14.Reinitz, ER, Goldman, MH, Sais, J, Rittgers, SE, Lee, HM, MendezPicon, G, Muakkassa, WF, Barnes, RW. Evaluation of transplant renal artery blood flow by Doppler sound-spectrum analysis. Arch Surg 1983; 118: 415419.CrossRefGoogle ScholarPubMed
15.Needleman, L, Kurtz, AB. Doppler evaluation of the renal transplant. J Clin Ultrasound 1987; 15: 661673.CrossRefGoogle ScholarPubMed
16.Murphy, AM, Robertson, RJ, Dubbins, PA. Duplex ultrasound in the assessment of renal transplant complications. Clinical Radiology 1987; 38: 229234.CrossRefGoogle ScholarPubMed
17.Hata, T, Hata, K, Aoki, S, Takamiya, O, Murao, F, Kitao, M. Renal arterial blood flow velocity waveforms in pregnant women. Am J Obstet Gynecol 1987; 157: 12691271.CrossRefGoogle ScholarPubMed
18.Bömelburg, T, Jorch, G. Investigations of renal artery blood flow velocity in preterm and term neonates by pulsed Doppler ultrasonography. Eur J Pediatr 1988; 147: 283287.CrossRefGoogle ScholarPubMed
19.Zales, VR, Berry, JM, Einzig, S, Bass, JL. Diastolic retrograde renal artery blood flow in premature neonates with respiratory distress syndrome and patent ductus arteriosus. J Am Coll Cardiol 1987; 9: 4A [Abstract]Google Scholar
20.Prineas, RJ, Gillum, RF, Horibe, H. The Minneapolis children's blood pressure study. Part I. Standards of measurement for children's blood pressure. Hypertension, Part 2, 1980; 2: 18.Google ScholarPubMed
21.Sahn, DJ, DeMaria, A, Kisslo, J, Weyman, A. Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation 1978; 58: 10721083.CrossRefGoogle ScholarPubMed
22.Huntsman, LL, Stewart, DK, Barnes, SR, Franklin, SB, Colocousis, JS, Hessel, EA. Noninvasive Doppler determination of cardiac output in man. Clinical validation. Circulation 1983; 67: 593602.CrossRefGoogle ScholarPubMed
23.Snider, AR, Howard, EA. The evaluation of cerebral artery flow patterns with Doppler ultrasonography. In: Berman, W Jr (ed). Pulsed Doppler ultrasound in clinical pediatrics. Futura Publishing, New York, 1983 pp 173196.Google Scholar
24.Planiol, TH, Pourcelot, L. Doppler effect study of the carotid circulation. In: de Vlieger, M, White, DN, McCready, ENR (eds). Ultrasonics in Medicine. Elsevier, New York, 1973, pp 104111.Google Scholar
25.van Son, JAM, Skotnicki, SH, van Asren, WN, Daniels, O, van Lier, HJ, Lacquet, LK. Quantitative assessment of coarctation in infancy by Doppler spectral analysis. Am J Cardiol 1989; 63: 12821285.CrossRefGoogle ScholarPubMed