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Vascular Variations and Incidental Pathologies in Potential Living Renal Donors Using 160-Slice Multidetector
Sehrish Mehreen1,2, Raja Rizwan Ahmed3, Ruqaya Qureshi4
1Radiology, The Kidney Centre Post Graduate Training Institute (PGTI), Karachi, PAK.
Multidetector computed tomography (MDCT) angiography revealed frequent renal vascular variations in potential living kidney donors. Pre-transplant analysis of these anatomical variations is crucial for successful renal transplantation.
Area of Science:
- Radiology
- Vascular Anatomy
- Transplant Surgery
Background:
- Living kidney donation requires thorough pre-transplant evaluation.
- Identifying renal vascular variations is essential for surgical planning.
Purpose of the Study:
- To evaluate vascular variations and incidental pathologies in potential living renal donors.
- Utilize 160-slice multidetector computed tomography (MDCT) angiography for assessment.
Main Methods:
- Retrospective analysis of 61 CT renal angiograms (122 kidneys) from potential donors.
- Utilized a Toshiba 160-slice MDCT scanner with a four-phase protocol.
- Included patients with normal renal function undergoing pre-transplant workup.
Main Results:
- Over 50% of patients exhibited renal artery variations (right: 50.8%, left: 34.4%).
- Male patients showed significantly higher frequencies of left renal artery (p=0.02) and right renal vein (p=0.05) variations.
- Bilateral renal arterial variations were noted in 13 patients; renal vein variations were also observed.
Conclusions:
- MDCT angiography effectively identifies frequent renal vascular variations and incidental pathologies in potential living donors.
- Pre-transplant analysis of these variations is critical for successful renal transplantation outcomes.
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