- Acta Medica Nicomedia
- Cilt: 7 Sayı: 1
- EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION F...
EVALUATION OF DONOR CANDIDATES USING MULTI-DETECTOR COMPUTED TOMOGRAPHY ANGIOGRAPHY IN PREPARATION FOR RENAL TRANSPLANTATION
Authors : Demet Doğan, Kağan Gökçe, Taner Kıvılcım, Alp Gürkan
Pages : 127-135
View : 51 | Download : 106
Publication Date : 2024-02-29
Article Type : Research
Abstract :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 46.25±13.2. 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.Keywords : Donör nefrektomi, multi-dedektör bilgisayarlı tomografi anjiyografi, renal transplantasyon