Digital repository of Slovenian research organisations

Show document
A+ | A- | Help | SLO | ENG

Title:Interventional radiological management of complications in renal transplantation
Authors:ID Popović, Peter (Author)
ID Šurlan Popović, Katarina (Author)
Files:.pdf PDF - Presentation file, download (327,82 KB)
MD5: C55EFA6EA04E1122D3BA2B30CC0597AD
 
Language:English
Typology:1.02 - Review Article
Organization:Logo OI - Institute of Oncology
Abstract:Background. The most frequent radiologically evaluated and treated complications in renal transplantation are perirenal and renal fluid collection and abnormalities of the vasculature and collecting system. Renal and perirenal fluid collection is usually treated successfully with percutaneous drainage. Doppler US, MRA and digital subtraction angiography (DSA) are most important in the evaluation of vascular complications of renal transplantation and management of the endovaseular therapy. Conclusions. Stenosis, the most common vascular complication, occurs in 1% to 12% of transplanted renal arteries and represents a potentially curable cause of hypertension following transplantation and/or renal dysfunction. Treatment with percutaneous transluntinal renal angioplasty (PTRA) or PTRA with stent has been technically successful in 82 to 92% of the cases, and graft salvage rate has ranged from 80-100%. Complications such as arterial and vein thrombosis are uncommon. Intrarenal A/V fistulas and pseudoaneurysms are occasionally seen after biopsy, the treatment reguires superselective embolisation. Urologic complications are relatively uncommon; they consist predominantly of the urinary leaks and urethral obstruction. Interventional treatment consists of percutaneous nephrostomy, balloon dilation, insertion ofthe double J stents, metallic stent placement and external drainage of the extrarenal collections. The aim of the paper is to review the role of interventional radiology in the management of complications in renal transplantation.
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2004
Publisher:Association of Radiology and Oncology
Year of publishing:2004
Number of pages:str. 309-321
Numbering:Letn. 38, št. 4
Source:Ljubljana
PID:20.500.12556/DiRROS-18158 New window
UDC:616-07
ISSN on article:1318-2099
COBISS.SI-ID:19026393 New window
Copyright:by Authors
Note:BSDOCID112280;
Publication date in DiRROS:13.02.2024
Views:482
Downloads:121
Metadata:XML DC-XML DC-RDF
:
Copy citation
  
Share:Bookmark and Share


Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:Radiološka diagnostika in zdravljenje zapletov presajene ledvice
Abstract:Izhodišča. Namen članka je podati pregled vloge intervencijske radiologije v diagnostiki in zdravljenju zapletov po presaditvi ledvic. Zapleti nastanejo nažilah, sečnih izvodilih ter v ledvici in njeni okolici v obliki patoloških tekočinskih formacij. Diagnostiko, načrtovanje in vodenje znotrajžilnega zdravljenja žilnih zapletov opravljamo z Dopplerskim ultrazvokom (UZ), magnetno resonanco (MR) in z digitalno subtrakcijsko angiografijo (DSA). Zaključki. Najpogostejši žilni zaplet presajene ledvice je zožitev ledvične arterije, ki se pojavi pri 1% -12% bolnikov. Nezdravljena zožitev je lahko razlog za arterijsko hipertenzijo in odpoved ledvice, čeprav je zaplet potencialno ozdravljiv. Zožitev zdravimo s perkutano transluminalno ledvično angioplastiko (PTRA) z uporabo žilne opornice ali brez nje, ki je za hipertenzijo uspešna v 82% - 92% primerov, ohranitev presajene ledvice pa je možna v 80% - 100%. Zapleti, kot sta arterijska in venska tromboza, so redki. Po biopsijah se občasno pojavijo znotraj ledvične arteriovenske fistule in psevdoanevrizme, ki jih zdravimo s superselektivno embolizacijo. Najpogostejšiurološki zapleti so zožitve, zapore in fistule sečevodov, ki jih zdravimo s perkutano nefrostomo, balonsko dilatacijo, vstavitvijo dvojne J kateterske opornice ali kovinske opornice. Tekočinske patološke kolekcije, kotso limfokele, abscesi, hematomi zdravimo s perkutano drenažo.


Back