Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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The Utility of 64 Channel Multidetector CT Angiography for Evaluating the Renal Vascular Anatomy and Possible Variations: a Pictorial Essay

  • Kumar, Sheo (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Neyaz, Zafar (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Gupta, Archna (Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
  • Received : 2009.09.15
  • Accepted : 2010.02.02
  • Published : 2010.06.01
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Abstract

The increased use of laparoscopic nephrectomy and nephron-sparing surgery has prompted the need for a more detailed radiological evaluation of the renal vascular anatomy. Multidetector CT angiography is a fast and accurate modality for assessing the precise anatomy of the renal vessels. In this pictorial review, we present the multidetector CT angiography appearances of the normal renal vascular anatomy and a spectrum of various anomalies that require accurate vascular depiction before undergoing surgical treatment.

Keywords

References

  1. Raman SS, Pojchamarnwiputh S, Muangsomboon K, Schulam PG, Gritsch HA, Lu DS. Utility of 16-MDCT angiography for comprehensive preoperative vascular evaluation of laparoscopic renal donors. AJR Am J Roentgenol 2006;186:1630-1638 https://doi.org/10.2214/AJR.05.0983
  2. Raman SS, Pojchamarnwiputh S, Muangsomboon K, Schulam PG, Gritsch HA, Lu DS. Surgically relevant normal and variant renal parenchymal and vascular anatomy in preoperative 16- MDCT evaluation of potential laparoscopic renal donors. AJR Am J Roentgenol 2007;188:105-114 https://doi.org/10.2214/AJR.05.1002
  3. Smith PA, Marshall FF, Corl FM, Fishman EK. Planning nephron-sparing renal surgery using 3D helical CT angiography. J Comput Assist Tomogr 1999;23:649-654 https://doi.org/10.1097/00004728-199909000-00001
  4. Holden A, Smith A, Dukes P, Pilmore H, Yasutomi M. Assessment of 100 live potential renal donors for laparoscopic nephrectomy with multi-detector row helical CT. Radiology 2005;237:973-980 https://doi.org/10.1148/radiol.2373041303
  5. Chai JW, Lee W, Yin YH, Jae HJ, Chung JW, Kim HH, et al. CT angiography for living kidney donors: accuracy, cause of misinterpretation and prevalence of variation. Korean J Radiol 2008;9:333-339 https://doi.org/10.3348/kjr.2008.9.4.333
  6. Urban BA, Ratner LE, Fishman EK. Three-dimensional volumerendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics 2001;21:373-386 https://doi.org/10.1148/radiographics.21.2.g01mr19373
  7. Maher MM, Kalra MK, Sahani DV, Perumpillichira JJ, Rizzo S, Saini S, et al. Techniques, clinical applications and limitations of 3D reconstruction in CT of the abdomen. Korean J Radiol 2004;5:55-67 https://doi.org/10.3348/kjr.2004.5.1.55
  8. Jacobs SC, Cho E, Dunkin BJ, Flowers JL, Schweitzer E, Cangro C, et al. Laparoscopic live donor nephrectomy: the University of Maryland 3-year experience. J Urol 2000;164:1494-1499
  9. Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris JH Jr. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics 2000;20:639- 652 https://doi.org/10.1148/radiographics.20.3.g00ma09639
  10. Kandpal H, Sharma R, Gamangatti S, Srivastava DN, Vashisht S. Imaging the inferior vena cava: a road less traveled. Radiographics 2008;28:669-689 https://doi.org/10.1148/rg.283075101
  11. Ozkan U, Oguzkurt L, Tercan F, Kızılkılıc O, Koc Z, Koca N. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol 2006;12:183-186
  12. Reed MD, Friedman AC, Nealey P. Anomalies of the left renal vein: analysis of 433 CT scans. J Comput Assist Tomogr 1982;6:1124-1126 https://doi.org/10.1097/00004728-198212000-00013
  13. Kawamoto S, Lawler LP, Fishman EK. Evaluation of the renal venous system on late arterial and venous phase images with MDCT angiography in potential living laparoscopic renal donors. AJR Am J Roentgenol 2005;184:539-545 https://doi.org/10.2214/ajr.184.2.01840539
  14. Ng WT, Ng SS. Double inferior vena cava: a report of three cases. Singapore Med J 2009;50:E211-E213
  15. Ratner LE, Kavoussi LR, Sroka M, Hiller J, Weber R, Schulam PG, et al. Laparoscopic assisted live donor nephrectomy- a comparison with the open approach. Transplantation 1997;63:229-233 https://doi.org/10.1097/00007890-199701270-00009
  16. Fabrizio MD, Ratner LE, Kavoussi LR. Laparoscopic live donor nephrectomy: pro. Urology 1999;53:665-667 https://doi.org/10.1016/S0090-4295(99)00009-6

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