Normal renal artery spectral Doppler waveform: a closer look.

Abstract

To characterize the spectral Doppler tracing of the normal renal artery. Doppler tracings were obtained from a phantom of a vessel with variable compliance and from the kidneys of 15 healthy volunteers. In the phantom, vascular compliance had the following effects on systolic flow velocity patterns: low compliance, little change in the sharp appearance of the systolic component of the transmitted pulse; mildly increased compliance, down-stream dampening of early systolic acceleration (ESA) with the appearance of a sharp early systolic transmitted peak and of a more rounded late systolic compliance peak; high compliance, delayed and diminished transmitted peak that eventually disappeared within the enlarging down-stream compliance peak. Healthy subjects with compliant vessels had greater ESA and more frequently visualized early systolic peaks in the renal hilum than in the renal sinus. Absence of a discrete early systolic peak is a normal finding in young patients, especially in the more distal interlobar arteries. Loss of the early systolic peak may be explained on the basis of vascular compliance.