Evaluación vascular pretrasplante renal. Papel de la tomografía helicoidal
RAFAEL ANTONIO MEDINA LÓPEZ, FRANCISCO JAVIER TORRUBIA ROMERO,
NATALIO CRUZ NAVARRO Y PEDRO MONTAÑÉS MEDINA.
Arch. Esp. de Urol., 53, 5 (443-446), 2000
Vol. 53, Number. 5, June 2000
OBJECTIVE: To present our experience
with helical CT for vascular assessment prior to renal
METHODS: In our hospital, all candidates to renal
transplantation are referred to the Urology Transplant
Unit for previous assessment. For the past 3 years, patients
with multiple arterial calcifications (non linear) have
been evaluated by helical CT with three-dimensional
reconstruction of the calcification densities, which provides
an accurate representation of the lesion.
RESULTS/CONCLUSIONS: Pretransplant evaluation
has been fundamental for individualized planning of the
renal transplant surgery. The use of helical CT is extending
in our field and it has also been utilized in graft donor
assessment. In our experience, the extent and thickness of
arterial wall calcifications are accurately depicted by
helical CT. These findings could have an important
significance when making pre and perioperative decisions
in renal transplantation.