Multidetector-row CT angiography for preoperative evaluation of potential laparoscopic renal donors: how accurate are we?
The purpose of this study was to evaluate multidetector-row computed tomography (MDCT) angiography in preoperative evaluation of renal donors for renal vascular abnormalities. Eighty-one patients underwent renal MDCT angiography and laparoscopic donor nephrectomy. MDCT angiographic findings were compared with surgical findings. The sensitivity and specificity of MDCT angiography for detection of accessory arteries, prehilar renal artery branching, and renal venous anomalies were 88% and 98%, 100% and 97%, and 100% and 97%, respectively. CT findings agreed with surgical findings for accessory renal arteries, prehilar renal artery branching, and renal venous anomalies in 94%, 93%, and 98% of patients, respectively.
Namasivayam
Saravanan
S
Department of Radiology and Surgery, Emory University Hospital, 1364 Clifton Road NE, Atlanta, GA 30322, USA. pardeep_mittal@emoryhealthcare.org
Small
William C
WC
Kalra
Mannudeep K
MK
Torres
William E
WE
Newell
Kenneth A
KA
Mittal
Pardeep K
PK
D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007668:Kidney / Q000098:blood supply*; D016030:Kidney Transplantation; D010535:Laparoscopy; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011300:Preoperative Care; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed