title: Pre-operative evaluation of living kidney donors using computerized tomographic angiography (CTA) and conventional angiography: comparison with intraoperative findings.
abstract: This study was undertaken to assess the accuracy of computerized tomographic angiography (CTA) for the evaluation of renal vascular anatomy for pre-operative donor assessment in living kidney transplantation and to compare it with conventional angiography. CTA of 70 living donor kidney donors were analyzed by two blinded observers and compared with the intraoperative findings. Similarly, findings of formal angiography of 30 living donor kidney donors were compared with the intraoperative observations. In the CTA group, there were two patients each with two main renal veins discovered during surgery that had not been recorded on CTA. In the second group, there was one patient with unrevealed two main renal veins before surgery. In both groups, accessory renal arteries were diagnosed. Overall, the accuracy for renal main artery anatomy was 100% for both CTA and conventional angiography. Accuracy for renal main vein anatomy was 97.1% and 96.6% for CTA and conventional angiography, respectively. Hence, these two modalities had comparable results for assessment of main renal vasculature anatomy.
authors.affiliation: Urology Ward, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Rahim Taghavi
authors.initials: RT
authors.lastname: Razavizadeh
authors.forename: Kamyar Tavakkoli
authors.initials: KT
authors.lastname: Tabassi
authors.forename: Toktam Mohamadi
authors.initials: TM
authors.lastname: Rana
mesh_terms: D000328:Adult; D046148:Donor Selection; D005260:Female; D006801:Humans; D007492:Iran; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D009392:Nephrectomy; D010690:Phlebography / Q000379:methods*; D011237:Predictive Value of Tests; D011300:Preoperative Care; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D012082:Renal Veins / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D055815:Young Adult