In an azotemic patient with suspected renal artery stenosis, undiluted
gadopentetate dimeglumine was administered in an aortic bolus to prov
ide contrast at digital subtraction angiography of the aorta and renal
arteries. The contrast material (5 mmol/mL) was power injected (rate,
15 mL/sec; total dose, 30 mi). Selective renal arteriography was also
performed with 5 mi of undiluted gadopentetate dimeglumine hand injec
ted into each renal artery (total dose, 40 mt). The patient tolerated
the procedure without complication or worsening of renal function, and
diagnostic angiographic images were obtained.