| RESEARCH ARTICLE |
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| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 134-137 |
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Evaluation of renal donors with helical CT angiography - our experience
N Upendra Kumar1, PVLN Murty1, Nand Kumar1, Ram Reddy1, Ramamurthy2, Jyotsna2, KV Dakshina Murthy3
1 Department of Urology and Renal Transplantation, Nizam's Institute of Medical Sciences, Hyderabad, India
2 Department of Radiodiagnosis, Nizam's Institute of Medical Sciences, Hyderabad, India
3 Department of Nephrology, Nizam's Institute of Medical Sciences, Hyderabad, India
Correspondence Address:
PVLN Murty
Department of Urology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Objectives: To compare the findings of helical computed tomography (CT) angiography and the intraoperative findings in voluntary kidney donors.
Methods: This was a prospective study evaluating 28 voluntary kidney donors from January 2001 to December 2002 who underwent a preoperative CT angiography with a 20 minute intravenous urogram film and was compared with intraoperative findings during nephrectomy to determine the accuracy of CT angiography. Donors constituted 21 females and 7 males and all were related donors with mean age of 35.5 years (19 to 55 years).
Results: Intraoperative findings correlated in 25 out of 28 patients (88.75%). Among those 3 patients, one patient had an upper polar accessory artery, another had a lower polar artery and the third patient had an early branching respectively.
Conclusions: Helical CT and 3-D reformatting allowed improved vascular imaging and has the potential for future single imaging method for donor evaluation. It has been cost effective also. It needs a dedicated radiologist for interpretation. About 10% of renal arteries are not seen on helical CT renal arteriograms when compared with findings at surgery. |
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