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Published on: June 23, 2015
Characterization of normal feline renal vascular anatomy with dual-phase CT angiography
Ana V Cáceres1, Allison L Zwingenberger, Lillian R Aronson
1Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, 3900 Delancey Street, Philadelphia, PA 19104-6010, USA. caceres@vet.upenn.edu
Insights
Renal vascular anatomy in cats shows variations, especially in right renal veins. Understanding these feline kidney vessel patterns is crucial for successful renal transplantation.
Area of Science:
- Veterinary Medicine
- Comparative Anatomy
Background:
- Renal transplantation in felines requires detailed knowledge of renal vascular anatomy.
- Variations in renal vasculature can impact surgical outcomes.
Purpose of the Study:
- To characterize the renal vascular anatomy in potential feline renal donors.
- To identify common variations and their prevalence.
- To assess the agreement between computed tomography angiography and surgical findings.
Main Methods:
- Review of 114 helical computed tomography angiograms in cats.
- Classification of renal vessels as single, bifurcated, double, or triple.
- Comparison of computed tomography angiography findings with surgical outcomes where available.
Main Results:
- Multiple renal veins were most common in the right kidney (45/114), occurring 13.3 times more frequently than in the left.
- Multiple left renal arteries were noted in 8/114 cats.
- High agreement (92% for left, 100% for right) between computed tomography angiography and surgical findings for renal anatomy.
Conclusions:
- Significant variations exist in feline renal vascular anatomy, particularly for renal veins.
- Computed tomography angiography is a reliable tool for pre-transplant anatomical assessment in cats.
- Awareness of these anatomical variations is essential for feline renal transplantation success.
Abstract:
Helical computed tomography angiography was used to evaluate the renal vascular anatomy of potential feline renal donors. One hundred and fourteen computed tomography angiograms were reviewed. The vessels were characterized as single without bifurcation, single with bifurcation, double, or triple. Multiplicity was most commonly seen for the right renal vein (45/114 vs. 3/114 multiple left renal veins, 0/114 multiple right renal arteries, and 8/114 multiple left renal arteries). The right kidney was 13.3 times more likely than the left to have multiple renal veins. Additional vascular variants included double caudal vena cava and an accessory renal artery. For the left kidney, surgery and computed tomography angiography findings were in agreement in 92% of 74 cats. For the right kidney, surgery and computed tomography angiography findings were in agreement in 6/6 cats. Our findings of renal vascular anatomy variations in cats were similar to previous reports in humans. Identifying and recognizing the pattern of distribution of these vessels is important when performing renal transplantation.
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