2011
DOI: 10.1111/j.1399-0012.2010.01218.x
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Who should have pelvic vessel imaging prior to renal transplantation?

Abstract: Current guidelines are vague in their recommendations as to which patients should be imaged prior to renal transplantation and the optimal imaging modality for this purpose. Data on 112 patients who underwent pre-transplant vascular imaging (magnetic resonance angiography or contrast angiography), from a total of 167 evaluated between January 2005 and October 2006, were scrutinized to see whether abnormal results altered clinical management. Several variables were analyzed to determine possible predictors of a… Show more

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Cited by 10 publications
(11 citation statements)
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“…However, tacrolimus preserves endothelial function to prevent the development of intimal hyperplasia . Another potential hypothesis is a steal phenomenon caused by anastomosing the donor kidney and pancreas to the recipient's left and right common iliac arteries, respectively, as described by Sollinger et al . Northcutt et al .…”
Section: Discussionmentioning
confidence: 99%
“…However, tacrolimus preserves endothelial function to prevent the development of intimal hyperplasia . Another potential hypothesis is a steal phenomenon caused by anastomosing the donor kidney and pancreas to the recipient's left and right common iliac arteries, respectively, as described by Sollinger et al . Northcutt et al .…”
Section: Discussionmentioning
confidence: 99%
“…4 Transplant and vascular surgeons are concerned whether the blood flow diverting phenomenon occurs in adults following kidney transplantation, and subsequently causes deterioration of the limb ischemia in the patients with preexisting PAD. 3,5 As vascular surgeons, we are often consulted to perform peripheral vascular evaluation in renal transplant candidates for two main purposes: (1) To rule out significant aorto-iliac occlusive disease (AIOD) and reduce the risk of ischemia of a transplanted graft; (2) To assess the severity of lower extremity PAD and the possibility of ischemia deterioration due to blood steal by transplanted kidney.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 One of the clinical concerns is the possibility of ischemia deterioration of the lower extremity with PAD due to blood diverting by a kidney transplanted to the iliac artery. 3 Acute limb ischemia due to steal phenomenon by graft kidney has been reported in pediatric patients. 4 The clinical significance of this “blood steal” phenomenon in adult patients with PAD has not been well documented, although it has been one of the main concerns during pre-transplantation evaluation.…”
Section: Introductionmentioning
confidence: 99%
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“…Hence, many candidates for kidney transplantation need to undergo vessel examination before the transplantation procedure. Currently, there is no consensus regarding which imaging modality to use in patients with renal insufficiency (4). Clinical guidelines are vague and do not specify which imaging modality is preferable (5–7).…”
Section: Introductionmentioning
confidence: 99%