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Date Published: 15/06/2022
Online Published: 30/12/2020
Abstract Views: 204
Views PDF: 86
DOI: https://doi.org/10.55046/vjrnm.41.165.2020
Issue
No. 41 (2020)
Section
Scientific research
How to Cite
Hoang, T. V. H., Nguyen, X. H., Phan, A. P., & Tran, V. T. (2020). The role of 128 channel multidetector computed tomography for evaluation vascular anatomy in the assessment of the extracellular in the living donor. Vietnamese Journal of Radiology and Nuclear Medicine, 41, 11-16. https://doi.org/10.55046/vjrnm.41.165.2020

The role of 128 channel multidetector computed tomography for evaluation vascular anatomy in the assessment of the extracellular in the living donor

Dr Hoang Thi Van Hoa1,, Dr Nguyen Xuan Hien1, Dr Phan Anh Phuong1, Dr Tran Van Thao1
1 Radiology Center - Bach Mai Hospital

Main Article Content

Abstract

Objective: The purpose of this study was to determinate the accuracy of multidetector computed tomography (MDCT) angiography for imaging evaluation of renal arterial and venous structures of living donor kidney
Materials and Methods: Two hundred twenty-eight potential living donor candidates were included to this study, who had CTA for the assessment of their renal vessels in our hospital between January 2018 and
June 2020 and one hundred-eighty donors who underwent open surgical in this time. The number, course, and drainage patterns of the renal vessel were retrospectively observed from the scans. Anomalies of renal arteries,
veins and inferior vena cava (IVC) were recorded. Multiplanar reformations
(MPRs), maximum intensity projections, and volume rendering were used for analysis. The results obtained were correlated surgically.
Results: A total of 228 potential live kidney donors underwent renal CTA (112 of the patients were male, and 116 were female. Mean age of donors was 38,32 ± 12,34 years. among them 180 patients had donor
nephrectomy. There were 151 kidneys had single renal artery , here were 29 kidneys had at least one accessory or polar artery. There were 45 early branching renal arteries, two kidneys were retroaortic left renal veins. 16
kidneys had multiple renal veins. 55 kidneys wewe late venous confluence of renal veins. Sn, Sp, NPV, PPV compare open oparative nephrectomy 87,5%- 100%.
Conclusion: Renal CTA is an accurate, safe and noninvasive diagnostic tool for determination of renal artery and vein abnormalities in living kidney donors preooparative. It helps with surgery planning,
choosing operation side and exclusion of donors.

Article Details

Author Biography

Dr Hoang Thi Van Hoa, Radiology Center - Bach Mai Hospital

Objective: The purpose of this study was to determinate the accuracy
of multidetector computed tom ography (MDCT) angiography for imaging
evaluation of renal arterial and venous structures of living donor kidney
Materials and Methods: Two hundred twenty-eight potential
living donor candidates were included to this study, who had CTA for the
assessment of their renal vessels in our hospital between January 2018 and June 2020 and one hundred-eighty donors who underwent open surgical in this time. The number, course, and drainage patterns of the renal vessel were retrospectively observed from the scans. Anomalies of renal arteries, veins and inferior vena cava (IVC) were recorded. Multiplanar reformations (MPRs), maximum intensity projections, and volume rendering were used for analysis. The results obtained were correlated surgically.
Results: A total of 228 potential live kidney donors underwent
renal CTA (112 of the patients were male, and 116 were female. Mean age
of donors was 38,32 ± 12,34 years. among them 180 patients had donor
nephrectomy. There were 151 kidneys had single renal artery , here were
29 kidneys had at least one accessory or polar artery. There were 45 early
branching renal arteries, two kidneys were retroaortic left renal veins. 16
kidneys had multiple renal veins. 55 kidneys wewe late venous confluence
of renal veins. Sn, Sp, NPV, PPV compare open oparative nephrectomy
87,5%- 100%.
Conclusion: Renal CTA is an accurate, safe and noninvasive
diagnostic tool for determination of renal artery and vein abnormalities
in living kidney donors preooparative. It helps with surgery planning,
choosing operation side and exclusion of donors.

Keywords

Keyword: CTA, MSCT, living donor

References

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