EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION FOR RENAL TRANSPLANTATION

Demet Doğan; Kağan Gökçe; Taner Kıvılcım; Alp Gürkan

Makale detayları

EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION FOR RENAL TRANSPLANTATION

Yazarlar:

Demet Doğan | Kağan Gökçe | Taner Kıvılcım | Alp Gürkan

Yayıncı:

Kocaeli University

Ana Başlıklar:

Organ Nakli

Dergi:

Acta Medica Nicomedia Vol.7 Issue 1, pp.127-135

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312618

pISSN:

2717-8994

Anahtar kelimeler:

Özet:

 Objective: Renal and extrarenal intra-abdominal findings in Multi-Detector Computed Tomography Angiography MDCTA imaging of kidney donor candidates, which may prevent the candidate from becoming a donor, or cause a change in surgical approach. We aim to underline the impact of MDCTA results on pre-transplant kidney donor evaluation. Methods: Our study retrospectively evaluated renal MDCTA imaging performed on 496 kidney donor candidates at Okan University Faculty of Medicine Hospital between January 2017 and November 2022. The size and parenchymal thickness of both kidneys were measured. The diameter, number, variations, and anomalies of the renal artery and vein on both sides were determined. Findings that prevented kidney transplantation were detected. MDCTA findings and how these findings affected the surgical approach were determined. Results: Of the 496 kidney donor candidates 273 were men and 223 were women. The age range of donor candidates was between 20-85, and the mean age was 46.2513.2. 278 of the healthy individuals who applied to the ethics committee became donor candidates, and 218 were eliminated. Among the 218 candidates eliminated, 22 could not become donors due to the findings detected in MDCTA. The most common MDCTA finding that prevented transplantation was bilateral kidney stones. Conclusion: Before a renal transplant, it is very important to evaluate intra-abdominal renal and extrarenal pathologies that may prevent transplantation. Renal MDCTA provides a minimally invasive, rapid, and accurate evaluation of living kidney donors. For this reason, MDCTA is an imaging method that is increasingly used in the evaluation before renal transplantation.

 Objective: Renal and extrarenal intra-abdominal findings in Multi-Detector Computed Tomography Angiography MDCTA imaging of kidney donor candidates, which may prevent the candidate from becoming a donor, or cause a change in surgical approach. We aim to underline the impact of MDCTA results on pre-transplant kidney donor evaluation. Methods: Our study retrospectively evaluated renal MDCTA imaging performed on 496 kidney donor candidates at Okan University Faculty of Medicine Hospital between January 2017 and November 2022. The size and parenchymal thickness of both kidneys were measured. The diameter, number, variations, and anomalies of the renal artery and vein on both sides were determined. Findings that prevented kidney transplantation were detected. MDCTA findings and how these findings affected the surgical approach were determined. Results: Of the 496 kidney donor candidates 273 were men and 223 were women. The age range of donor candidates was between 20-85, and the mean age was 46.2513.2. 278 of the healthy individuals who applied to the ethics committee became donor candidates, and 218 were eliminated. Among the 218 candidates eliminated, 22 could not become donors due to the findings detected in MDCTA. The most common MDCTA finding that prevented transplantation was bilateral kidney stones. Conclusion: Before a renal transplant, it is very important to evaluate intra-abdominal renal and extrarenal pathologies that may prevent transplantation. Renal MDCTA provides a minimally invasive, rapid, and accurate evaluation of living kidney donors. For this reason, MDCTA is an imaging method that is increasingly used in the evaluation before renal transplantation.

 Objective: Renal and extrarenal intra-abdominal findings in Multi-Detector Computed Tomography Angiography MDCTA imaging of kidney donor candidates, which may prevent the candidate from becoming a donor, or cause a change in surgical approach. We aim to underline the impact of MDCTA results on pre-transplant kidney donor evaluation. Methods: Our study retrospectively evaluated renal MDCTA imaging performed on 496 kidney donor candidates at Okan University Faculty of Medicine Hospital between January 2017 and November 2022. The size and parenchymal thickness of both kidneys were measured. The diameter, number, variations, and anomalies of the renal artery and vein on both sides were determined. Findings that prevented kidney transplantation were detected. MDCTA findings and how these findings affected the surgical approach were determined. Results: Of the 496 kidney donor candidates 273 were men and 223 were women. The age range of donor candidates was between 20-85, and the mean age was 46.2513.2. 278 of the healthy individuals who applied to the ethics committee became donor candidates, and 218 were eliminated. Among the 218 candidates eliminated, 22 could not become donors due to the findings detected in MDCTA. The most common MDCTA finding that prevented transplantation was bilateral kidney stones. Conclusion: Before a renal transplant, it is very important to evaluate intra-abdominal renal and extrarenal pathologies that may prevent transplantation. Renal MDCTA provides a minimally invasive, rapid, and accurate evaluation of living kidney donors. For this reason, MDCTA is an imaging method that is increasingly used in the evaluation before renal transplantation.

 Amaç: Böbrek donör adayı olarak başvuran kişilere uygulanan Multidedektörlü Bilgisayarlı Tomografi Anjiyografi MDBTA incelemesinde; kişinin donör olmasını engelleyebilecek veya cerrahi yaklaşımın değişmesine neden olabilecek renal ve ekstra renal bulgularımızı bildirmeyi amaçlamaktayız. Nakil öncesi donör değerlendirmesi için yapılan MDBTA incelemesinin ve sonuçlarının transplantasyon planlaması üzerindeki etkisinin altını çizmeyi hedeflemekteyiz. Yöntem: Çalışmamızda Ocak 2017 ile Kasım 2022 tarihleri arasında 496 böbrek verici adayına uygulanan renal MDBTA tetkiki retrospektif olarak değerlendirdi. Her iki böbreğin boyutu ve parankim kalınlığı ölçüldü. Her iki taraf renal arter ve venin çapı, sayıları, varyasyonları, anomalileri tespit edildi. Renal ve diğer batın içi patolojiler belirlendi. Tüm bu değerlendirmelerin sonucunda böbrek nakline engel olan bulgular saptandı. Böbrek nakli için donör adaylarının preoperatif değerlendirilmesinde MDBTA bulguları ve bu bulguların cerrahi yaklaşımı ne oranda etkilediği belirlendi. Bulgular: 496 böbrek verici adayının 273ü erkek, 223ü kadın idi. Verici adaylarının yaş aralığı 20-85 arasındaydı, yaş ortalaması ise 46,2513,2 idi. 278 tanesi donör adayı olmuş, 218 aday çeşitli nedenler ile elenmiştir. Bunların 22 tanesi MDBTAde tespit edilen bulgulara bağlı olarak donör olamamıştır. Nakile engel olan en sık MDBTA bulgusu ise bilateral böbrek taşı idi. Sonuç: Renal transplant öncesi nakile engel olacak batın içi renal ve ekstrarenal patolojilerin değerlendirilmesi oldukça önemlidir. Renal MDBTA; canlı böbrek donörlerinin minimal invaziv, hızlı ve doğru bir şekilde değerlendirilmesini sağlar. Bu nedenle MDBTA renal transplantasyon öncesi değerlendirmede kullanımı gittikçe yaygınlaşan bir görüntüleme yöntemidir.

Makale detayları

EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION FOR RENAL TRANSPLANTATION

Yazarlar:

Demet Doğan | Kağan Gökçe | Taner Kıvılcım | Alp Gürkan

Yayıncı:

Kocaeli University

Ana Başlıklar:

Organ Nakli

Dergi:

Acta Medica Nicomedia Vol.7 Issue 1, pp.127-135

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312618

pISSN:

2717-8994

Donor nephrectomy

multi-detector computed tomography angiography

renal transplantationDonör nefrektomi

multi-dedektör bilgisayarlı tomografi anjiyografi

renal transplantasyon

Sayı

Makale detayları

EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION FOR RENAL TRANSPLANTATION

Yazarlar: Demet Doğan | Kağan Gökçe | Taner Kıvılcım | Alp Gürkan

Yayıncı: Kocaeli University

Ana Başlıklar: Organ Nakli

Dergi: Acta Medica Nicomedia Vol.7 Issue 1, pp.127-135

Belge Tipi: Makale

Yayın Tarihi: 2/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001312618

pISSN: 2717-8994

Donor nephrectomy

multi-detector computed tomography angiography

renal transplantationDonör nefrektomi

multi-dedektör bilgisayarlı tomografi anjiyografi

renal transplantasyon

Sayı

Yazarlar:

Demet Doğan | Kağan Gökçe | Taner Kıvılcım | Alp Gürkan

Yayıncı:

Kocaeli University

Ana Başlıklar:

Organ Nakli

Dergi:

Acta Medica Nicomedia Vol.7 Issue 1, pp.127-135

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312618

pISSN:

2717-8994