{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T20:44:00Z","timestamp":1757450640234,"version":"3.37.3"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Pediatric hypertension guidelines recommend Doppler renal ultrasonography as a screening study for the evaluation of possible renal artery stenosis (<jats:styled-content style=\"fixed-case\">RAS<\/jats:styled-content>) in normal\u2010weight children \u2265 8\u00a0years of age who are suspected of having <jats:styled-content style=\"fixed-case\">RAS<\/jats:styled-content> and who will cooperate with the procedure. Obese children are excluded because of technical and vascular concerns. There are no data on <jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content> in obese children. This is a retrospective review of children aged 1.5\u201018 who received Doppler imaging studies over a 10\u2010year period. A total of 174 patients were studied. There was no significant difference between the <jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content> values based on <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>. Of the 174 individuals in the study 22 obtained follow\u2010up <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MRA<\/jats:styled-content> after abnormal Doppler ultrasounds. On advanced imaging 3 were confirmed to have <jats:styled-content style=\"fixed-case\">RAS<\/jats:styled-content>. Obesity does not seem to influence <jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content>.<jats:styled-content style=\"fixed-case\">RI<\/jats:styled-content> alone should not be used as a screening tool for <jats:styled-content style=\"fixed-case\">RAS<\/jats:styled-content>. An approach toward diagnosis is suggested based on <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>, renin levels, and ultrasound.<\/jats:p>","DOI":"10.1111\/jch.13241","type":"journal-article","created":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T16:32:23Z","timestamp":1521995543000},"page":"807-813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Utility of Doppler sonography for renal artery stenosis screening in obese children with hypertension"],"prefix":"10.1111","volume":"20","author":[{"given":"Pooja","family":"Makhija","sequence":"first","affiliation":[{"name":"Department of Pediatrics University at Buffalo School of Medicine and Biomedical Sciences  Buffalo NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Mathematical Sciences Clemson University College of Engineering and Sciences  Clemson SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9651-0392","authenticated-orcid":false,"given":"Sudha","family":"Garimella","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine Greenville Health System  Greenville SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.151.3.439"},{"key":"e_1_2_7_3_1","first-page":"337","article-title":"Color\u2010coded Doppler sonography of the kidney blood vessels in childhood. 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