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Role of multislice CT angiography in evaluation of renal vessels in living renal transplant donors

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Radiodiagnosis

Advisors

Hanna, Sameh A., Badawi, Hesham A., Shahin, Muhammad A.

Authors

Abdel-Rahman, Sherif Fatthi

Accessioned

2017-03-30 06:23:06

Available

2017-03-30 06:23:06

type

M.Sc. Thesis

Abstract

Potential living related kidney donors require preoperative radiological evaluation. Traditionally, excretory urography and catheter arteriography have been used in the evaluation protocol of these donors. Now, the wide advent of laparoscopic nephrectomy made the precise mapping of the renal vascular structures including renal veins is a much more intense requirement because the operative field of view is limited. As a result Multidetector Computed Tomography (MDCT) was introduced in the preoperative evaluation protocol of living renal donors.In this study, a four-channel MDCT scanner was used : Precontrast scan was performed to exclude nephro-and urolithiasis. Vascular phase was performed to assess renal vessels. Nephrographic phase was also performed to assess the renal parenchyma. Then excretory phase was obtained to assess the collecting sestem, ureters and urinary bladder. All obtained axial images are reconstructed using maximum intensity projection (MIP) and volume rendering techniques.MDCT angiography, nephrography and urography are advantagious compared to conventional angiography and intravenous urography being noninvasive technique that can be done on outpatient basis without pre or post–procedure admission, no angiographic team or equipments needed, no special post procedure care as conventional angiography, less cost when compared to conventional angiography and intravenous urography together, also no risk of thromboembolism or local complications that may occur in conventional angiography.

Issued

1 Jan 2005

Details

Type

Thesis

Created At

31 Jan 2023