A comparison of three-dimensional spiral computed tomoangiography with renal angiography in the live-donor work-up.
The purpose of this study was to investigate the safety and efficacy of three-dimensional spiral computed tomoangiography (3-D spiral CTA) of the abdomen as a substitute for renal angiography in the evaluation of potential live kidney donors. Two of 10 potential live renal donors underwent 3-D spiral CTA only, whereas the remaining 8 underwent 3-D spiral CTA and renal angiography before transplantation. 3-D spiral CTA and renal angiography results were compared and correlated with intraoperative findings. In all 8 cases in which 3-D spiral CTA and renal angiography were compared, the number of arteries was correctly identified by both modalities. In this limited study, 3-D spiral CTA provided the same information as did angiography. According to these findings, 3-D spiral CTA might be used as an alternative to renal angiography, though a larger series is needed to determine whether it could replace renal angiography for all potential live-donor work-ups.
Figueroa
K
K
Montefiore Medical Center/Albert Einstein College of Medicine, Division of Transplant Surgery, Bronx, NY 10467, USA.
Feuerstein
D
D
Principe
A L
AL
D000328:Adult; D000792:Angiography / Q000592:standards*; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging*; D016030:Kidney Transplantation; D019520:Living Donors; D018579:Patient Selection; D016037:Single-Blind Method; D014057:Tomography, X-Ray Computed / Q000592:standards*