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2016 | 75 | 2 |

Tytuł artykułu

Supernumerary renal vessels: analysis of frequency and configuration in 996 computed tomography studies

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Number, course and division pattern of renal vessels is highly variable. Variant renal vasculature is of high interest in nephrectomy for the renal transplantations, both in deceased and living donors. The purpose of the study was to analyse the frequency of supernumerary renal vessels in a large cohort of patients undergoing the multiphase abdominopelvic computed tomography (CT), as well as analyse the possible patterns of coexisting supernumerary arteries in veins. Materials and methods: A retrospective analysis of abdominopelvic CT studies within 1 year period was performed. In each study, number of renal arteries and veins was recorded. Course of left renal vein was classified into normal, retro- or periaortic. For statistical analysis of normal distribution data, t-Student test was used. Chi-square test was used for frequency of variant vessel distribution. Pearson correlation coefficient was used for the analysis of coexistence of supernumerary vessels. Results: 996 patients were included in the analysis, male to female ratio: 481:515 (48%:52%). Mean age was 57.9 ± 14.7 years. Single renal arteries were observed in 73% of cases, while single renal veins in 95%. Circumaortic or retroaortic courses of left renal veins were observed in 10% of cases. Number of renal vessels has been compared in patients with and without supernumerary vessels. In patients with supernumerary left renal artery, significantly more right renal vessels were observed. In patients with supernumerary right renal vein, mean number of all remaining vessels was significantly higher. Conclusions: Supernumerary renal vessels are a frequent finding in abdominal CT studies. Finding a supernumerary vessel should increase awareness of possible other supernumerary renal vessels. (Folia Morphol 2016; 75, 2: 245–250)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

75

Numer

2

Opis fizyczny

p.245-250,fig.,ref.

Twórcy

  • Human Anatomy Department, Medical University of Lublin, Jaczewskiego 8, 20–954 Lublin, Poland
  • 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
autor
  • Human Anatomy Department, Medical University of Lublin, Lublin, Poland
autor
  • Human Anatomy Department, Medical University of Lublin, Lublin, Poland
  • 1st Department of Radiology, Medical University of Lublin, Lublin, Poland
  • Human Anatomy Department, Medical University of Lublin, Lublin, Poland
autor
  • 1st Department of Radiology, Medical University of Lublin, Lublin, Poland

Bibliografia

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  • 2. Chai JW, Lee W, Yin YH, Jae HJ, Chung JW, Kim HH, Park JH (2008) CT angiography for living kidney donors: accuracy, cause of misinterpretation and prevalence of variation. Kor J Radiol, 9: 333–339.
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  • 4. He B, Hamdorf JM (2013) Clinical importance of anatomical variations of renal vasculature during laparoscopic donor nephrectomy. OA Anatomy, 1: 25.
  • 5. Hung CJ, Lin YJ, Chang SS, Chou TC, Lee PC (2012) Kidney grafts with multiple renal arteries is no longer a relative contraindication with advance in surgical techniques of laparoscopic donor nephrectomy. Transplant Proc, 44: 36–38.
  • 6. Husted TL, Hanaway MJ, Thomas MJ, Woodle ES, Buell JF (2005) Laparoscopic living donor nephrectomy for kidneys with multiple arteries. Transplant Proc, 37: 629–630.
  • 7. Janschek EC, Rothe AU, Hölzenbein TJ, Langer F, Brugger PC, Pokorny H, Domenig CM, Rasoul-Rockenschaub S, Mühlbacher F (2004) Anatomic basis of right renal vein extension for cadaveric kidney transplantation. Urology, 63: 660–664.
  • 8. Kawamoto S, Montgomery RA, Lawler LP, Horton KM, Fishman EK (2004) Multi-detector row CT evaluation of living renal donors prior to laparoscopic nephrectomy. Radiographics, 24: 453–466.
  • 9. Kim JK, Park SY, Kim HJ, Kim CS, Ahn HJ, Ahn TY (2003) Living donor kidneys: usefulness of multi-detector row CT for comprehensive evaluation. Radiology, 229: 869–876.
  • 10. Lancisi GM (1714) Tabulae anatomicae Bartolomaei Eustachii. Ex officina typografia Francisci Gonzagae, Rome.
  • 11. Ozkan U, Oğuzkurt L, Tercan F, Kizilkiliç O, Koç Z, Koca N (2006) Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol, 12: 183–186.
  • 12. Patil UD, Ragavan A, Nadaraj, Murthy K, Shankar R, Bastani B, Ballal SH (2001) Helical CT angiography in evaluation of live kidney donors. Nephrol Dial Transplant, 16: 1900–1904.
  • 13. Saldarriaga B, Pérez AF, Ballesteros LE (2008) A direct anatomical study of additional renal arteries in a Colombian mestizo population. Folia Morphol, 67: 129–134.
  • 14. Schlunt LB, Harper JD, Broome DR, Baron PW, Watkins GE, Ojogho ON (2007) Improved detection of renal vascular anatomy using multidetector CT angiography: is 100% detection possible? J Endourol, 21: 12–17.
  • 15. Spring DB, Salvatierra O Jr, Palubinskas AJ, Amend WJ Jr, Vincenti FG, Feduska NJ (1979) Results and significance of angiography in potential kidney donors. Radiology, 133: 45–47.
  • 16. Talovic E, Kulenovic A, Voljevica A, Ovcina F, Prevljak S (2004) Angiographic imaging of supernumerary kidney arteries by nonselective angiography. Med Arh, 58: 263–267.
  • 17. Tore HG, Tatar I, Celik HH, Oto A, Aldur MM, Denk CC (2005) Two cases of inferior vena cava duplication with their CT findings and a review of the literature. Folia Morphol, 64: 55–58.
  • 18. Trigaux JP, Vandroogenbroek S, De Wispelaere JF, Lacrosse M, Jamart J (1998) Congenital anomalies of the inferior vena cava and left renal vein: evaluation with spiral CT. J Vasc Intervent Radiol, 9: 339–345.
  • 19. Vilhova I, Kryvko Y, Maciejewski R (2001) The radioanatomical research of plural renal arteries. Folia Morphol, 60: 337–341.
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Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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