Correlation of imaging data and intraoperative data of vascular abnormalities during kidney transplantation
Departement of Urology , Ibn rochd university hospital center,Casablanca
O.ELIDRISSI,Y.FADIL,Y.GHANNAM,M.DAKIR,A.DEBBAGH,R.ABOUTAIEB, ”Correlation of imaging data and intraoperative data of vascular abnormalities during kidney transplantation”. American Research Journal of Urology, vol 4, no. 1, 2020, pp. 1-5.
Abstract
ORenal transplantation from a living related donor represents an alternative for patients with end-stage chronic kidney disease. This requires a
precise preoperative assessment of the donor in order to determine the side of the kidney to be removed according to the anatomical conditions,
in particular the renal vascularization.
The presence of vascular anomalies within the couple poses a real problem at several stages:
• Donor selection stage.
• Choice of side to be withdrawn.
• Surgical step during kidney removal and transplantation with greater operational risks compared to a donor without vascular abnormalities,
which may compromise the future of the transplant.
The objective of our work is to correlate the results of imaging, which allows the diagnosis of vascular abnormalities in renal transplantation from
living related donors, and the surgical data.
This is a retrospective study, carried out on 259 living related donors, extended over a period of 8 years, concerning renal transplants from living
related donors (DVA) performed at the Ibn Rochd University Hospital in Casablanca.
We report a series of 22 couples presenting vascular anomalies of different types found during the renal transplant process during the radiological
assessment or during the operation, as well as the sensitivity of the imaging means to detect the various vascular anomalies.
Renal transplantation with vascular anomaly requires surgical expertise, both during the harvest and during the renal transplant, as well as
collaboration between the various stakeholders “surgeons, radiologists, nephrologists and anesthetists” for the success of the transplant.
Goal: To assess the prevalence of vascular abnormalities in kidney transplantation from living
precise preoperative assessment of the donor in order to determine the side of the kidney to be removed according to the anatomical conditions,
in particular the renal vascularization.
The presence of vascular anomalies within the couple poses a real problem at several stages:
• Donor selection stage.
• Choice of side to be withdrawn.
• Surgical step during kidney removal and transplantation with greater operational risks compared to a donor without vascular abnormalities,
which may compromise the future of the transplant.
The objective of our work is to correlate the results of imaging, which allows the diagnosis of vascular abnormalities in renal transplantation from
living related donors, and the surgical data.
This is a retrospective study, carried out on 259 living related donors, extended over a period of 8 years, concerning renal transplants from living
related donors (DVA) performed at the Ibn Rochd University Hospital in Casablanca.
We report a series of 22 couples presenting vascular anomalies of different types found during the renal transplant process during the radiological
assessment or during the operation, as well as the sensitivity of the imaging means to detect the various vascular anomalies.
Renal transplantation with vascular anomaly requires surgical expertise, both during the harvest and during the renal transplant, as well as
collaboration between the various stakeholders “surgeons, radiologists, nephrologists and anesthetists” for the success of the transplant.
Goal: To assess the prevalence of vascular abnormalities in kidney transplantation from living
