Captopril Enhanced $^{99m}Tc-DMSA$ Renal Scintigraphy in A Case of Renovascular Hypertension Due to Branch Renal Artery Stenosis

신동맥분지협착에 의한 신혈관성고혈압 예에서 캅토프릴투여후 $^{99m}Tc-DMSA$ 신 스캔

  • Yang, W.S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, Y.S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Earm, J.H. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, S.E. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, D.S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Han, J.S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Chung, J.K. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, M.C. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, J.S. (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, C.S. (Department of Internal Medicine, College of Medicine, Seoul National University)
  • 양원석 (서울대학교 의과대학 내과학교실) ;
  • 김연수 (서울대학교 의과대학 내과학교실) ;
  • 엄재호 (서울대학교 의과대학 내과학교실) ;
  • 김상은 (서울대학교 의과대학 내과학교실) ;
  • 이동수 (서울대학교 의과대학 내과학교실) ;
  • 한진석 (서울대학교 의과대학 내과학교실) ;
  • 정준기 (서울대학교 의과대학 내과학교실) ;
  • 김성권 (서울대학교 의과대학 내과학교실) ;
  • 이명철 (서울대학교 의과대학 내과학교실) ;
  • 이정상 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실)
  • Published : 1990.11.25

Abstract

Radionuclide renal scintigraphies were performed in a 24-year-old man with right renal artery branch stenosis. Captopril enhanced $^{99m}Tc-DTPA$ renal scintigraphy revealed no abnormal finding in the right kidney. But, $^{99m}Tc-DMSA$ renal scintigraphy showed regional cortical photon deficient area corresponding to the area supplied by the stenotic branch artery. The defect size increased in captopril enhanced $^{99m}Tc-DMSA$ renal scintigrphy and nearly disappeared after successful transluminal renal angioplasty. This case suggests that the captopril enhanced $^{99m}Tc-DMSA$ renal scintigraphy may be a useful method in the evaluation of renovascular hypertension, especially due to branch renal srtery stenosis.

Keywords