Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults?
Aim: To investigate the relationship between hypertension and the indentation and compression of the diaphragmatic crus in the renal artery. Material and Methods: Abdominal computed tomography scans of 304 consecutive adult patients performed for any reason were retrospectively analyzed. Patients...
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| Language: | English |
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Izzet Baysal Training and Research Hospital
2025-01-01
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| Series: | Northwestern Medical Journal |
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| Online Access: | https://nwmedj.org/article/view/99 |
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| author | Dilek Akkurt Acar Atilla Hikmet Çilengir Mehtap Balaban Eren Çamur Betül Akdal Dölek Nilgün Işıksalan Özbülbül |
| author_facet | Dilek Akkurt Acar Atilla Hikmet Çilengir Mehtap Balaban Eren Çamur Betül Akdal Dölek Nilgün Işıksalan Özbülbül |
| author_sort | Dilek Akkurt Acar |
| collection | DOAJ |
| description |
Aim: To investigate the relationship between hypertension and the indentation and compression of the diaphragmatic crus in the renal artery.
Material and Methods: Abdominal computed tomography scans of 304 consecutive adult patients performed for any reason were retrospectively analyzed. Patients with crus indentation or compression on the renal artery were identified. Diaphragmatic crus contact was defined as compression if it caused stenosis more than 50% of the renal artery diameter, and indentation if it caused stenosis less than 50%. If the renal artery originated above the level of the L1-2 intervertebral disc, it was considered as a high origin.
Results: The mean age of women was 51±15.29 and the mean age of men was 52±15.38. Hypertension was present in 29.6% (n=74) of the patients. Diaphragmatic crus indentation (DCI) was detected in 8.4% (n=21) of all patients, and 76.2% (n=16) of these were men. Diaphragmatic crus compression (DCC) (n=3) was detected in 1.2% of all patients, and 67% (n=2) of these were women. Hypertension was present in 67% (n=2) of patients with DCC, all of them were women, and the mean age was 65.5 years. Hypertension was present in 38.1% (n=8) of patients with DCI.
Conclusions: DCI and DCC which can be caused by hypertrophic diaphragmatic crus or high origin of the renal artery, should be included in the etiology of renovascular hypertension. In addition to the presence of renal artery stenosis in a patient with hypertension, the relationship between the renal artery and diaphragmatic crus should also be evaluated.
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| format | Article |
| id | doaj-art-794e6f96176748ae9bb2a3e7a0594c44 |
| institution | Kabale University |
| issn | 2979-9538 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Izzet Baysal Training and Research Hospital |
| record_format | Article |
| series | Northwestern Medical Journal |
| spelling | doaj-art-794e6f96176748ae9bb2a3e7a0594c442025-02-04T12:17:08ZengIzzet Baysal Training and Research HospitalNorthwestern Medical Journal2979-95382025-01-015110.54307/2025.NWMJ.99Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults?Dilek Akkurt Acar0https://orcid.org/0000-0001-5972-1142Atilla Hikmet Çilengir1https://orcid.org/0000-0002-4073-9665Mehtap Balaban2https://orcid.org/0000-0002-6752-6838Eren Çamur3https://orcid.org/0000-0002-8774-5800Betül Akdal Dölek4https://orcid.org/0000-0002-8556-6278Nilgün Işıksalan Özbülbül5https://orcid.org/0000-0003-3571-7469Department of Radiology, Ankara Bilkent City Hospital, Ankara, TürkiyeDepartment of Radiology, Faculty of Medicine, İzmir Democracy University, İzmir, TürkiyeDepartment of Radiology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, TürkiyeDepartment of Radiology, Ankara Bilkent City Hospital, Ankara, TürkiyeDepartment of Radiology, Ankara Bilkent City Hospital, Ankara, TürkiyeDepartment of Radiology, University of Health Sciences, Ankara City Hospital, Ankara, Türkiye Aim: To investigate the relationship between hypertension and the indentation and compression of the diaphragmatic crus in the renal artery. Material and Methods: Abdominal computed tomography scans of 304 consecutive adult patients performed for any reason were retrospectively analyzed. Patients with crus indentation or compression on the renal artery were identified. Diaphragmatic crus contact was defined as compression if it caused stenosis more than 50% of the renal artery diameter, and indentation if it caused stenosis less than 50%. If the renal artery originated above the level of the L1-2 intervertebral disc, it was considered as a high origin. Results: The mean age of women was 51±15.29 and the mean age of men was 52±15.38. Hypertension was present in 29.6% (n=74) of the patients. Diaphragmatic crus indentation (DCI) was detected in 8.4% (n=21) of all patients, and 76.2% (n=16) of these were men. Diaphragmatic crus compression (DCC) (n=3) was detected in 1.2% of all patients, and 67% (n=2) of these were women. Hypertension was present in 67% (n=2) of patients with DCC, all of them were women, and the mean age was 65.5 years. Hypertension was present in 38.1% (n=8) of patients with DCI. Conclusions: DCI and DCC which can be caused by hypertrophic diaphragmatic crus or high origin of the renal artery, should be included in the etiology of renovascular hypertension. In addition to the presence of renal artery stenosis in a patient with hypertension, the relationship between the renal artery and diaphragmatic crus should also be evaluated. https://nwmedj.org/article/view/99diaphragmatic crushypertensionrenal arteryrenovascular |
| spellingShingle | Dilek Akkurt Acar Atilla Hikmet Çilengir Mehtap Balaban Eren Çamur Betül Akdal Dölek Nilgün Işıksalan Özbülbül Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? Northwestern Medical Journal diaphragmatic crus hypertension renal artery renovascular |
| title | Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? |
| title_full | Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? |
| title_fullStr | Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? |
| title_full_unstemmed | Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? |
| title_short | Diaphragmatic crus indentation to the renal artery: Is it a new etiology for renovascular hypertension in adults? |
| title_sort | diaphragmatic crus indentation to the renal artery is it a new etiology for renovascular hypertension in adults |
| topic | diaphragmatic crus hypertension renal artery renovascular |
| url | https://nwmedj.org/article/view/99 |
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