Number: | 27ESURABS0030 |
Type: | Educational Electronic Presentation |
Authors: | Luís Maduro, Ana Coutinho Santos |
Keywords: | Kidney, Transplant, Abdomen, Ultrasound-Colour Doppler, Ultrasound-Spectral Doppler, CT, |
To discuss relevant pre and postsurgical urologic and vascular anatomy of renal transplantation.
To evaluate the transplanted kidney for potential complications or rejection.
To review the imaging features of renal transplantation complications (Doppler-US and CT findings).
Background
The treatment of choice for patients with end-stage renal disease is renal transplantation. Despite improvements in peritoneal dialysis and hemodialysis, these patients survive much longer after receiving a kidney transplant. Survival rates have also improved because of refined surgical techniques and more effective immunosuppression.
Surgical Technique
It's important to analyze the donor kidneys and the recipient before the procedure, as well as to know the surgical techniques and the postsurgical anatomic relationships.
The transplanted kidney is usually placed extraperitoneally in the patient’s right or left iliac fossa, with end-to-side anastomosis to the external iliac...
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Developments in the surgical techniques and more sophisticated immunosuppressive drugs have improved the survival of patients and renal grafts.
Several complications can occur over the timeline of renal transplantation, and imaging techniques have a critical role to detect them.
The aim of the radiologist is to minimize complications by a strict pre-operative evaluation and to provide the early diagnosis of complications through the interpretation of post-transplant examinations.
References
Mark D. Sugi et al. IMAGING OF RENAL TRANSPLANT COMPLICATIONS THROUGHOUT THE LIFE OF THE ALLOGRAFT: COMPREHENSIVE MULTIMODALITY REVIEW. Radiographics; Vol. 39, No 5. doi:10.1148/rg.2019190096
Syed A. Akbar et al. COMPLICATIONS OF RENAL TRANSPLANTATION. Radiographics; Vol. 25, No 5....
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