engleski

Interventional ultrasound in renal transplantation

The authors present their six year (1988-1993) experience in the use of interventional ultrasound in patients with transplanted kidneys. During that time 165 kidney transplantations (55 /33%/ from living donors and 110 /67%/ from cadavers) were performed in KBC Rijeka. Interventional US was indicated in 49 cases: 18 (37%) biopsies, 10 (20%) aspirations, 17 (35%) drainages and 4 (8%) percutaneous nephrostomes. Indications included ultrasonically evident rejections, collections in or around grafts (lymphocele, urinoma, hematoma, abscesses, hydronephrosis and pancreatic pseudocyst). The value of interventional US for early diagnosis and therapy of the mentioned pathological conditions endangering the patient's life of leading to different stages of graft dysfunction in the initial and late posttransplantation period is emphasized. Early complications of interventions were not reported until in four patients epididymitis, febrility and 2 arterio-venous fistulas, without false negative or false positive results were noted. Recurrences (2 lymphoceles, 1 urinoma and 1 abscess) in 5 patients (8%) were treated by additional intervention: drainages in lymphoceles and abscess, reoperation in urinoma.

kidney transplantation ; ultrasound ; interventional ; radiology

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