- “ Studies using angiography have revealed that 3.8%-6.6% of potential renal donors have fibromuscular dysplasia (FMD), which was bilateral in 43% to 71%. Atherosclerotic lesions were much less common, identified in 2%.”
Computed Tomography Angiography of the Renal and Mesenteric Vasculature: Concepts and Applications
Johnson PT, Fishman EK
Seminars in Roentgenology
2011: 115-124
- CT Angiography of the Renal Arteries: Renal Donor Evaluation
-Number and location of the renal arteries including presence of prehilar branching
-Detection of renal artery stenosis and fibromuscular dysplasia (FMD)
-Presence of renal mass or other important renal findings (horseshoe kidney, scarring of the kidney)
-Renal vein and collecting system also evaluated on venous and delayed topogram "Of these, 94 (0f 199) were rejected for donation, with 15 rejected on the basis of multidetector CT findings (bilateral renal atheromatosis or fibromuscular dysplasia in six cases, unsuspected abdominal tumors in four cases, and multiple renal artery or vein pedicles in five cases)."
Multidetector CT of Living Renal Donors: Lessons Learned From Surgeons
Sebastia C et al
RadioGraphics 2010; 30;1875-1890
"Knowledge of the surgical technique used and the difficulties that surgeons may face during laparoscopic nephrectomy and subsequent renal transplantation is essential to compile accurate radiologic reports."
Multidetector CT of Living Renal Donors: Lessons Learned From Surgeons
Sebastia C et al
RadioGraphics 2010; 30;1875-1890
"Some limitations to our study must be acknowledged. Renal neoplasms may not be evident in the early corticomedullary phase."
Combined Vascular-Excretory Phase MDCT Angiography in the Preoperative Evaluation of Renal Donors
Zamboni GA et al.
AJR 2010; 194:145-150
"Furthermore,only vascular abnormalities were detected in our patients, and no renal parenchyma abnormalities were observed."
Combined Vascular-Excretory Phase MDCT Angiography in the Preoperative Evaluation of Renal Donors
Zamboni GA et al.
AJR 2010; 194:145-150
"Using a split-bolus injection of contrast medium and an arterial phase acquisition, we can produce CTA images that provide information from the arterial, venous, parenchymal, and excretory phases combined thus eliminating the need for venous phase and excretory phase scanning."
Combined Vascular-Excretory Phase MDCT Angiography in the Preoperative Evaluation of Renal Donors
Zamboni GA et al.
AJR 2010; 194:145-150
"Split-bolus contrast injection and combined vascular phase scanning are adequate for studying potential renal donors and result in a marked decrease in multiphase scanning, and thus radiation dose."
Combined Vascular-Excretory Phase MDCT Angiography in the Preoperative Evaluation of Renal Donors
Zamboni GA et al.
AJR 2010; 194:145-150
- "Laparoscopic donor nephrectomy has become the accepted method of harvesting the kidney at many institutions because of multiple advantages over open donor nephrectomy. Spiral computed tomographic (CT) angiography provides accurate information of renal vascular anatomy and has become an accepted method of preoperative evaluation of potential laparoscopic renal donors."
MDCT Angiography of Living Laparoscopic Renal Donors Kawamoto S, Fishman EK
Abdom Imaging 2006.
