ACR Appropriateness Criteria® Renovascular Hypertension

Expert Panels on Urologic Imaging and Vascular Imaging

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Renovascular hypertension is the most common type of secondary hypertension and is estimated to have a prevalence between 0.5% and 5% of the general hypertensive population, and an even higher prevalence among patients with severe hypertension and end-stage renal disease, approaching 25% in elderly dialysis patients. Investigation for renal artery stenosis is appropriate when clinical presentation suggests secondary hypertension rather than primary hypertension, when there is not another known cause of secondary hypertension, and when intervention would be carried out if a significant renal artery stenosis were identified. The primary imaging modalities used to screen for renal artery stenosis are CT, MRI, and ultrasound, with the selection of imaging dependent in part on renal function. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S540-S549
JournalJournal of the American College of Radiology
Volume14
Issue number11
DOIs
StatePublished - Nov 2017

Keywords

  • AUC
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • CT
  • MRI
  • Renal artery stenosis
  • Renovascular hypertension
  • US

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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