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Outpatient angiographic evaluation of living renal donors
W Spencer1, S B Streem, M A Geisinger
1Section of Renal Transplantation, Cleveland Clinic Foundation, Ohio 44106.
Insights
Evaluating living kidney donors using angiography is safe and accurate on an outpatient basis. Both modified catheter angiography and intra-arterial digital subtraction angiography effectively assessed renal vasculature without significant complications.
Area of Science:
- Nephrology
- Radiology
- Transplant Surgery
Background:
- Living kidney donation is crucial for transplantation.
- Accurate pre-donation assessment of renal vasculature is essential for donor safety and graft success.
- Outpatient evaluation aims to improve efficiency and patient convenience.
Purpose of the Study:
- To evaluate the safety and accuracy of outpatient angiographic assessment in potential living kidney donors.
- To compare two specific angiography techniques for renal vasculature evaluation.
Main Methods:
- Seventy-one potential living kidney donors underwent outpatient evaluation.
- Procedures included modified standard catheter angiography (30 patients) and intra-arterial digital subtraction angiography (41 patients).
- Assessment focused on the main renal vasculature.
Main Results:
- Both angiography techniques accurately assessed the main renal vasculature.
- Confirmation of accuracy was established during subsequent donor nephrectomy.
- Neither procedure was associated with significant morbidity in the evaluated donors.
Conclusions:
- Complete angiographic evaluation of potential kidney donors can be safely performed on an outpatient basis.
- Modified catheter angiography and intra-arterial digital subtraction angiography are reliable methods for this assessment.
- Outpatient angiographic evaluation is a viable and safe option for living kidney donor assessment.
Abstract:
A total of 71 potential living kidney donors was evaluated on an outpatient basis with either a modification of standard catheter angiography (30 patients) or intra-arterial digital subtraction angiography (41 patients). Both procedures provided accurate assessment of the main renal vasculature as proved at the time of donor nephrectomy. Neither technique was associated with any significant morbidity. We conclude that complete angiographic evaluation of potential kidney donors can be performed accurately and safely on an outpatient basis.