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MULTIDETECTOR COMPUTED TOMOGRAPHY OF RENAL VASCULATURE. ANATOMY AND NORMAL VARIANTS.

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Last updated: 01 Jan 2025

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Abstract

Multi Detector Computed Tomography Angiography (MDCTA) provides a fast, non-invasive modality for the evaluation of the renal vascular pedicle. CTA can reliably and accurately depict the renal arteries and veins and approaches conventional angiography in the assessment of most vascular abnormalities. Knowledge of the variations in renal vascular anatomy is important before laparoscopic donor or partial nephrectomy and vascular reconstruction for renal artery stenosis or abdominal aortic aneurysm.
Objective: To illustrate the diagnostic accuracy of MDCT for evaluation of renal vasculature anatomy.
Design: An analytic, comparative study.
Subjects: fifty six patients including 43 living renal donors, 13 hypertension and abdominal pain (27 men and 29 women, mean age 39.5 years) were examined from January 2008 to September 2010 in Radiology department, Farwania hospital Kuwait. Gold standard was the operative data, conventional angiography or DSA.
Main outcome: The value of MDCT in assessment of renal vascular anomalies.
Results: Renal vascular anatomical variants included multiple arteries (21.4%), multiple veins (7.1%), early arterial bifurcation (8.9%), late venous confluence (7.1%), circum-aortic renal veins (7.1%) and retro-aortic vein (3.6%). The sensitivity and specificity of multiple arterial anomalies were 91.7% and 97.7%, respectively. The sensitivity and specificity of multiple venous anomalies were 85.7% and 97.6%, respectively.
Conclusion: MDCT is valuable for detection of renal vascular anomalies.

DOI

10.21608/zumj.2014.4415

Keywords

Renal artery. Renal vein. Kidney. Multi-detector computed tomography

Authors

First Name

Ahmad

Last Name

Hassan

MiddleName

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Affiliation

Radiology department. Associate Professor of Radiodiagnosis, Suez Canal University.

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First Name

Tarek

Last Name

ElKammash

MiddleName

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Affiliation

Radiology department. Associate Professor of Radiodiagnosis, Suez Canal University.

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First Name

Adel Alam

Last Name

Adel Alam

MiddleName

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Affiliation

Department of Urology, Farwania Hospital, Kuwait. Professor of Urology, Banha University.

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Volume

20

Article Issue

4

Related Issue

734

Issue Date

2014-07-01

Receive Date

2017-12-05

Publish Date

2014-07-01

Page Start

1

Page End

13

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_4415.html

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https://zumj.journals.ekb.eg/service?article_code=4415

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11

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

MULTIDETECTOR COMPUTED TOMOGRAPHY OF RENAL VASCULATURE. ANATOMY AND NORMAL VARIANTS.

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Article

Created At

22 Jan 2023