UNIGE document Scientific Article
previous document  unige:20936  next document
add to browser collection
Title

Magnetic resonance imaging as the sole radiological assessment for living donor nephrectomy

Authors
Published in Urologia Internationalis. 2010, vol. 84, no. 1, p. 56-60
Abstract INTRODUCTION: Planification of living donor nephrectomy requires exact knowledge of the renal vascular architecture because of the high prevalence of anatomical variants. After magnetic resonance angiography (MRA) challenged CT angiography for preoperative assessment over the last years, we revisit in this study the reliability of MRA as the sole preoperative assessment for living donor nephrectomy. METHOD: We compared the radiological findings of MRA performed as the sole radiological procedure in 44 living kidney donors with perioperative anatomy to verify its sensitivity and to validate its systematic use in the preoperative assessment for living donor nephrectomy. RESULTS: 22 anatomical variants were found in 16 patients (16/44 = 36%). In 4 patients, a polar artery (3 superior, 1 inferior) was not seen by MRA and was detected during surgery (open nephrectomy). Supposing the anatomical variants it described on the opposite side of the nephrectomy are real, sensitivity of this technique in this series is 40/44 (91%) for arterial and 100% for venous imaging. CONCLUSION: MRA as the sole radiological preoperative assessment performed by a single radiologist with specific expertise and preoperatively reviewed with the harvesting surgeon has been validated as the sole radiological preoperative assessment for living donor nephrectomy at our institution.
Keywords AdultAgedFemaleHumansKidney Transplantation/ methodsLiving DonorsMagnetic Resonance Angiography/ methodsMagnetic Resonance Imaging/ methodsMaleMiddle AgedNephrectomy/methodsRadiology/ methodsReproducibility of ResultsSensitivity and SpecificityTomography, X-Ray Computed/methods
Identifiers
PMID: 20173370
Full text
Structures
Research groups Groupe Iselin Christophe (urologie) (106)
Groupe Pierre-Yves Martin (néphrologie) (30)
Cultures cellulaires et transplantations (519)
Imagerie cardiaque fonctionnelle (541)
Citation
(ISO format)
FLEURY, Nicolas et al. Magnetic resonance imaging as the sole radiological assessment for living donor nephrectomy. In: Urologia Internationalis, 2010, vol. 84, n° 1, p. 56-60. https://archive-ouverte.unige.ch/unige:20936

274 hits

0 download

Update

Deposited on : 2012-05-23

Export document
Format :
Citation style :