Phenolsulfonphthalein test in the surgical prognosis of unilateral renovascular hypertension.

THE effectiveness of renovascular surgery in lowering blood pressure in hypertensive patients has been unpredictable, and this has prompted a search for a simple but accurate prognostic test to ascertain which hypertensive patients will improve after surgery. Results of the surgical treatment of hypertension by nephrectomy or renal-artery surgery reported since Goldblatt's original communication1 have had little or no predictability.2 3 4 5 6 Intravenous pyelography has been used as an initial screening procedure for size, rate of filling and emptying, concentration (accentuated by hydration) and a rough estimation of renal function; renal-artery angiography often shows the physical presence and anatomic location of an . . .

[1]  E. Poutasse.  Diagnosis and treatment of occlusive renal artery disease and hypertension. , 1961, JAMA.

[2]  T. Stamey,et al.  FUNCTIONAL CHARACTERISTICS OF RENOVASCULAR HYPERTENSION , 1961, Medicine.

[3]  W. Beierwaltes,et al.  Renal scintiscans in the diagnosis of renal vascular disease. , 1961, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[4]  D. Mcdonald.  Individual Renal Clearance in Diagnosis of Hypertension of Renal Origin , 1961 .

[5]  R. Lyon.  The measurement of urine chloride as a test of renal function. , 1961, The Journal of urology.

[6]  T. Stamey.  The Diagnosis of Curable Unilateral Renal Hypertension by Ureteral Catheterization , 1961 .

[7]  A. Rapoport.  Modification of the "Howard test" for the detection of renal-artery obstruction. , 1960, The New England journal of medicine.

[8]  I. Rosenthal.  Determination of Specific Gravity of Urine , 1960, Pediatrics.

[9]  T. Connor,et al.  Unilateral renal disease as a cause of hypertension: its detection by ureteral catheterization studies. , 1960, Annals of internal medicine.

[10]  H. Dustan,et al.  Arteriosclerosis and renal hypertension; indications for aortography in hypertensive patients and results of surgical treatment of obstructive lesions of renal artery. , 1957, Journal of the American Medical Association.

[11]  H. W. Smith.  Unilateral nephrectomy in hypertensive disease. , 1956, The Journal of urology.

[12]  W. Leadbetter,et al.  Hypertension in Unilateral Renal Disease , 1938 .

[13]  W. Goldring,et al.  THE MEASUREMENT OF THE TUBULAR EXCRETORY MASS, EFFECTIVE BLOOD FLOW AND FILTRATION RATE IN THE NORMAL HUMAN KIDNEY. , 1938, The Journal of clinical investigation.

[14]  H. Goldblatt,et al.  STUDIES ON EXPERIMENTAL HYPERTENSION I. THE PRODUCTION OF PERSISTENT ELEVATION OF SYSTOLIC BLOOD PRESSURE BY MEANS OF RENAL ISCHEMIA , 1934 .

[15]  J. Magoun.  The Absorption of Phenolsulphonphthalein from the Human Renal Pelvis , 1929 .

[16]  T. Connor,et al.  Hypertension produced by unilateral renal disease. , 1962, Archives of internal medicine.

[17]  P. Decamp,et al.  Recognition and treatment of renal arterial stenosis associated with hypertension. , 1958, Surgery.