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Article: CT angiography versus conventional digital angiography in preoperative assessment for Chinese living kidney donors

TitleCT angiography versus conventional digital angiography in preoperative assessment for Chinese living kidney donors
Authors
KeywordsComplication
Conventional arteriogram
Cost
CT angiogram
Living kidney donor
Vascular anomalies
Issue Date2010
PublisherWichtig Editore srl. The Journal's web site is located at http://www.jnephrol.com/index.asp?a=current
Citation
Journal Of Nephrology, 2010, v. 23 n. 6, p. 711-716 How to Cite?
AbstractBackground: Computed tomography (CT) angiography is used for preoperative evaluation of living kidney donors, but its correlation with intraoperative findings during the transplant operation remains unknown. Methods: Between April 1997 and October 2008, 34 consecutive pairs of living kidney transplants were carried out. Conventional digital angiography was employed for the preoperative assessment in the first 19 pairs, and CT angiography in the subsequent 15 pairs. The radiological reports and operative findings during kidney harvest were carefully examined and compared. Results: Among the 34 cases in our cohort, we found 9 early branching renal arteries (26.4%) and 6 double renal arteries (17%). Venous and ureteral anomalies were rare, with only 1 case (2.9%) of each. CT angiography offered excellent and equal accuracy (accuracy 100%) when compared with conventional digital angiography for renal arterial anatomy. CT angiography showed superior performance compared with conventional angiography in the domain of venous and collecting system anomalies (accuracy 100% vs. 94.7%, respectively). No contrast nephropathy or allergy was documented in our series. Conclusions: CT angiography showed excellent correlations with surgical findings in the Chinese population. It is associated with minimal risk of contrast nephropathy as well as lower cost and therefore should be adopted as the standard preoperative assessment of living kidney donors. © 2010 Società Italiana di Nefrologia.
Persistent Identifierhttp://hdl.handle.net/10722/124957
ISSN
2015 Impact Factor: 1.352
2015 SCImago Journal Rankings: 0.689
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYap, DYHen_HK
dc.contributor.authorChu, FSKen_HK
dc.contributor.authorChu, SMen_HK
dc.contributor.authorTam, PCen_HK
dc.contributor.authorTam, Sen_HK
dc.contributor.authorChan, TMen_HK
dc.contributor.authorLai, KNen_HK
dc.contributor.authorTang, SCWen_HK
dc.date.accessioned2010-10-31T11:03:34Z-
dc.date.available2010-10-31T11:03:34Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Nephrology, 2010, v. 23 n. 6, p. 711-716en_HK
dc.identifier.issn1121-8428en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124957-
dc.description.abstractBackground: Computed tomography (CT) angiography is used for preoperative evaluation of living kidney donors, but its correlation with intraoperative findings during the transplant operation remains unknown. Methods: Between April 1997 and October 2008, 34 consecutive pairs of living kidney transplants were carried out. Conventional digital angiography was employed for the preoperative assessment in the first 19 pairs, and CT angiography in the subsequent 15 pairs. The radiological reports and operative findings during kidney harvest were carefully examined and compared. Results: Among the 34 cases in our cohort, we found 9 early branching renal arteries (26.4%) and 6 double renal arteries (17%). Venous and ureteral anomalies were rare, with only 1 case (2.9%) of each. CT angiography offered excellent and equal accuracy (accuracy 100%) when compared with conventional digital angiography for renal arterial anatomy. CT angiography showed superior performance compared with conventional angiography in the domain of venous and collecting system anomalies (accuracy 100% vs. 94.7%, respectively). No contrast nephropathy or allergy was documented in our series. Conclusions: CT angiography showed excellent correlations with surgical findings in the Chinese population. It is associated with minimal risk of contrast nephropathy as well as lower cost and therefore should be adopted as the standard preoperative assessment of living kidney donors. © 2010 Società Italiana di Nefrologia.en_HK
dc.languageengen_HK
dc.publisherWichtig Editore srl. The Journal's web site is located at http://www.jnephrol.com/index.asp?a=currenten_HK
dc.relation.ispartofJournal of Nephrologyen_HK
dc.subjectComplicationen_HK
dc.subjectConventional arteriogramen_HK
dc.subjectCosten_HK
dc.subjectCT angiogramen_HK
dc.subjectLiving kidney donoren_HK
dc.subjectVascular anomaliesen_HK
dc.subject.meshAdult-
dc.subject.meshAngiography - adverse effects - economics - methods-
dc.subject.meshKidney Transplantation-
dc.subject.meshLiving Donors-
dc.subject.meshTomography, X-Ray Computed - adverse effects - economics - methods-
dc.titleCT angiography versus conventional digital angiography in preoperative assessment for Chinese living kidney donorsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1121-8428&volume=23&issue=6&spage=711 &epage= 716&date=2010&atitle=CT+angiography+versus+conventional+digital+angiography+in+preoperative+assessment+for+Chinese+living+kidney+donors-
dc.identifier.emailYap, DYH: desmondy@hku.hken_HK
dc.identifier.emailChan, TM: dtmchan@hku.hken_HK
dc.identifier.emailLai, KN: knlai@hku.hken_HK
dc.identifier.emailTang, SCW: scwtang@hku.hken_HK
dc.identifier.authorityYap, DYH=rp01607en_HK
dc.identifier.authorityChan, TM=rp00394en_HK
dc.identifier.authorityLai, KN=rp00324en_HK
dc.identifier.authorityTang, SCW=rp00480en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid20563999-
dc.identifier.scopuseid_2-s2.0-78549232664en_HK
dc.identifier.hkuros174017en_HK
dc.identifier.hkuros197018-
dc.identifier.hkuros210052-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78549232664&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume23en_HK
dc.identifier.issue6en_HK
dc.identifier.spage711en_HK
dc.identifier.epage716en_HK
dc.identifier.isiWOS:000284107400013-
dc.publisher.placeItalyen_HK
dc.identifier.scopusauthoridYap, DYH=25958532000en_HK
dc.identifier.scopusauthoridChu, FSK=7201881037en_HK
dc.identifier.scopusauthoridChu, SM=7403622276en_HK
dc.identifier.scopusauthoridTam, PC=7202539419en_HK
dc.identifier.scopusauthoridTam, S=7202037323en_HK
dc.identifier.scopusauthoridChan, TM=7402687700en_HK
dc.identifier.scopusauthoridLai, KN=7402135706en_HK
dc.identifier.scopusauthoridTang, SCW=7403437082en_HK

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