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KHẢO SÁT GIÁ TRỊ CỦA CHỤP CẮT LỚP VI TÍNH ĐA DÃY ĐẦU THU TRONG ĐÁNH GIÁ ĐẶC ĐIỂM MẠCH MÁU THẬN TRÊN NGƯỜI HIẾN THẬN SỐNG TẠI BỆNH VIỆN TRUNG ƯƠNG HUẾ
Main Article Content
Abstract
Objectives: Describe the characteristics of vessels and the value of multi-detector row CT in evaluating renal vessels in living donors at Hue Central Hospital.
Methods: A cross-sectional study on 122 living donors were examined with MDCT and nephrectomy at Hue Central Hospital. CTA and surgical findings were quantified with weighted Kappa statistics.
Results: According to CTA findings, 77.87% (87.30%) had a single renal artery (vein), 19.67% (11.86%) had double renal arteries (veins), 2.46%. (0.82%) had triple renal arteries (veins). The percentage of accessory renal arteries and early branching of a renal arteries were 22.13%, 32,79%, respectively. The frequency of right renal vein variations was significantly higher than that of left renal vein variations. The most common anatomical variation on the right is multiple veins. The specificity, sensitivity for detecting artery (vein) in MDCT were 93-100% (83-100%), 96-100% (92-100%), Kappa 0.66-0.88 (Kappa 0.86-1.00), p<0.001 (p<0.001), respectively.
Conclusion: Transplantation remains the best option for patients with end-stage renal disease. MDCT currently is the preferred and gold standard imaging modality despite renal arterial and venous system as well as variants before renal transplantation, to minimize intra-and post-operation complications and ensure successfully renal transplantation.
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Keywords
Động mạch thận, Tĩnh mạch thận, Biến thể, Cắt lớp vi tính đa dãy
References
2. Cicek SK, Ergun S, Akıncı O, Sarıyar M. Renal vascular and ureteral anatomic variations in 1859 potential living renal donors. Transplant Proc. 2021 Sep; 53(7):2153-2156. DOI: 10.1016/j.transproceed.2021.07.030. Epub 2021 Aug 14. PMID: 34404539.
3. Sebastià C, Peri L, Salvador R, Buñesch L, Revuelta I, Alcaraz A, Nicolau C. Multidetector CT of living renal donors: Lessons learned from surgeons. Radiographics. 2010 Nov; 30(7):1875-1890. DOI: 10.1148/ rg.307105032. PMID: 21057125.
4. Leckie A, Tao MJ, Narayanasamy S, Khalili K, Schieda N, Krishna S. The renal vasculature: What the radiologist needs to know. Radiographics. 2022 Mar-Apr; 42(2):E80. DOI: 10.1148/ rg.229003. Erratum for: Radiographics. 2021 Sep-Oct; 41(5):1531-1548. DOI: 10.1148/rg.2021200174. PMID: 35230923.
5. Zhu J, Zhang L, Yang Z, Zhou H, Tang G. Classification of the renal vein variations: A study with multidetector computed tomography. Surg Radiol Anat. 2015 Aug; 37(6):667-675. DOI: 10.1007/s00276-014-1403-6. Epub 2015 Jan 8. PMID: 25567101.
6. Hoàng Thị Vân Hoa (2020). Vai trò của chụp CLVT 128 dãy trong đánh giá giải phẫu động - tĩnh mạch đoạn ngoài thận ở người cho sống. Luận văn Bác sĩ Chuyên khoa cấp II.
7. Aremu A, Igbokwe M, Olatise O, Lawal A, Maduadi K. Anatomical variations of the renal artery: A computerized tomographic angiogram study in living kidney donors at a Nigerian Kidney Transplant Center. Afr Health Sci. 2021 Sep; 21(3):1155-1162. DOI: 10.4314/ahs.v21i3.24. PMID: 35222578; PMCID: PMC8843298.
8. Gundogdu, Hasan & AKSU, Sibel & KARA, Melih. Comparison of low-dose contrast computed tomography angiography findings with surgical results in living kidney donors. Journal of Health Sciences and Medicine. 2022; 5:161-166. 10.32322/jhsm.1014834.
9. Sarier M, Callioglu M, Yuksel Y, Duman E, Emek M, Usta SS. Evaluation of the renal arteries of 2,144 living kidney donors using computed tomography angiography and comparison with intraoperative findings. Urol Int. 2020; 104(7-8):637-640. DOI: 10.1159/000507796. Epub 2020 May 14. PMID: 32408307.
10. Kim JK, Park SY, Kim HJ, Kim CS, Ahn HJ, Ahn TY, Cho KS. Living donor kidneys: Usefulness of multi-detector row CT for comprehensive evaluation. Radiology. 2003 Dec; 229(3):869-876. DOI: 10.1148/radiol.2293021098. Epub 2003 Oct 30. PMID: 14593192.