How do Pts with AAA and Renal involvement present? - mirt

[ArchivalUser]

I mean HX................Coz we also need to do Arteriogram in addition to CT Scan if Renal involvement is suspected....Anyone plz

[ArchivalUser]

i think the issue is suprarenal or infrarenal

[ArchivalUser]

Thanks Dark.......that is Ok but what do we look for in History ....I mean is there anything in HX as well that convinces us to do Arteriogram as well....

[ArchivalUser]

not sure....renal bruit may be or evidence of PVD

[ArchivalUser]

Thnx....will look for it......Again thnx Dark

[ArchivalUser]

hi mirt,
to answer ur q, its very uncommonn to see the involvement of the renal arteries in aaa. The common presentation is infrarenal. the importance of looking for renals in the aaa management, is to decide abt the evar or open repair. well dissection can extend into the renals some times... any ways if u suspect renal involvement, look for signs like u expect for renal artery stenosis, bruit, woresening creatinine or worsening nuclear scan with ace inhibitor challenge etc. the involvement of renals mostly diagnosed at the radiology investigation level but not in the clinical exam. this is my understanding on this.