| Magnetic resonance imaging as the sole radiological assessment for living donor nephrectomy. | |
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MedLine Citation:
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PMID: 20173370 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Nicolas Fleury; Jean-Paul Vallée; Karine Hadaya; Léo Bühler; Pierre-Yves Martin; Christophe E Iselin |
Publication Detail:
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Type: Journal Article Date: 2010-02-17 |
Journal Detail:
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Title: Urologia internationalis Volume: 84 ISSN: 1423-0399 ISO Abbreviation: Urol. Int. Publication Date: 2010 |
Date Detail:
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Created Date: 2010-02-22 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417373 Medline TA: Urol Int Country: Switzerland |
Other Details:
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Languages: eng Pagination: 56-60 Citation Subset: IM |
Copyright Information:
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Copyright 2010 S. Karger AG, Basel. |
Affiliation:
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Division of Urologic Surgery, Geneva University Hospital, Rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland. Nicolas.Fleury@hcuge.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Humans Kidney Transplantation / methods* Living Donors* Magnetic Resonance Angiography / methods* Magnetic Resonance Imaging / methods* Male Middle Aged Nephrectomy / methods Radiology / methods* Reproducibility of Results Sensitivity and Specificity Tomography, X-Ray Computed / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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