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Erschienen in: World Journal of Urology 5/2004

01.10.2004 | Topic Paper

The role of imaging techniques in renal transplantation

verfasst von: F. Javier Burgos, Julio Pascual, Roberto Marcen, Ricardo García-Navas, Victoria Gómez, Joaquin Ortuño

Erschienen in: World Journal of Urology | Ausgabe 5/2004

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Abstract

Our aim is to review the utility of the different imaging techniques in the field of renal transplantation (RT). A total of 500 potential RT recipients have been evaluated and were included in the waiting list. From 1978 to 2003, a total of 900 RT recipients were clinically followed-up and different imaging techniques assessed. The main indications for the different techniques were: (1) MR angiography to establish the vascular anatomy of the living donor with 95% accuracy for the detection of multiple renal vessels. (2) Abdominal ultrasound of the donor in order to detect lithiasis, incidental renal tumors or anatomic anomalies. (3) Vascular evaluation of the recipients was essential considering the aging character of this population. X-ray film of the abdomen was a routine technique. Doppler ultrasound (DOP-US) of the iliac vessels and an angiographic study (DSA, CT, MR) of the iliac and splenic arteries were indicated only in selected cases. (4) DOP-US was useful in the diagnosis of graft dysfunction after RT. It allowed the exclusion of thrombosis and urinary obstruction, and was useful to distinguish between acute tubular necrosis, cyclosporine nephrotoxicity and acute rejection (AR). (5) Finally, ultrasound was used as a percutaneous approach to pyelocaliceal systems of grafts affected by ureteral stenosis or fistula and for draining fluid collections after RT (lymphocele, abscess, hematoma or urinoma).
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Metadaten
Titel
The role of imaging techniques in renal transplantation
verfasst von
F. Javier Burgos
Julio Pascual
Roberto Marcen
Ricardo García-Navas
Victoria Gómez
Joaquin Ortuño
Publikationsdatum
01.10.2004
Verlag
Springer-Verlag
Erschienen in
World Journal of Urology / Ausgabe 5/2004
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-004-0412-1

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