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Vascular imaging in renal donors
Ayaz Aghayev1, Sumit Gupta1, Borna E Dabiri1
1Cardiovascular Imaging Program, Departments of Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Cardiovascular Diagnosis and Therapy
|September 28, 2019
Summary
Pre-transplant imaging, including computed tomography angiography (CTA) and magnetic resonance angiography (MRA), is vital for evaluating kidney and vascular anatomy. This review details imaging modalities to identify pathologies affecting living renal donor selection for successful kidney transplants.
Area of Science:
- Nephrology
- Radiology
- Transplant Surgery
Background:
- Pre-transplant evaluation is critical for successful kidney transplant outcomes.
- Accurate assessment of kidney and vascular anatomy is essential.
- Identifying potential pathologies aids in donor selection.
Purpose of the Study:
- To review available imaging modalities for pre-transplant evaluation.
- To discuss the benefits, risks, advantages, and disadvantages of each modality.
- To highlight imaging findings relevant to living renal donor selection.
Main Methods:
- Review of current literature on renal transplant imaging.
- Analysis of computed tomography angiography (CTA) and magnetic resonance angiography (MRA).
- Discussion of imaging findings for anatomical and pathological assessment.
Main Results:
- Computed tomography angiography (CTA) is the primary imaging modality.
- Magnetic resonance angiography (MRA) is suitable for select cases.
- Specific imaging findings can identify anomalies impacting donor suitability.
Conclusions:
- Imaging modalities are indispensable for pre-transplant assessment.
- Understanding modality-specific characteristics optimizes donor selection.
- Comprehensive imaging improves the likelihood of successful kidney transplantation.
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