Abstract
Radiologic imaging procedures include a wide array of modalities and many are indicated in the diagnosis and treatment of renal transplant recipients and donors. In the renal donor candidate, CT is the optimal imaging modality for anatomic assessment and MRI is a potential alternative. CT is also utilized for the vascular evaluation of recipients at risk for peripheral vascular disease. Imaging modalities are central to the diagnosis and treatment of renal transplantation complications. Ultrasound (US) is the first-line imaging modality to evaluate allograft dysfunction with utility for identifying parenchymal and vascular complications, fluid collections, and urinary complications. While renal scintigraphy provides an alternative to US in assessing graft dysfunction and detecting these complications, CT and MRI serve an ancillary role. Interventional radiology procedures in the posttransplant setting include a variety of diagnostic and therapeutic procedures. Arteriography confirms arterial disease and precedes angioplasty/stenting for renal artery stenosis and embolization for arteriovenous fistula and pseudoaneurysm. Urologic complications are treated with procedures such as percutaneous nephrostomy, urinary stent placement, or stricture angioplasty. Image-guided fluid collection drainage is usually accomplished with ultrasound, reserving CT for cases in which a poor acoustic window limits US.
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Roth, C.G., Mizrahi, D.J., Needleman, L. (2017). Radiology of Kidney Transplantation. In: Ramirez, C., McCauley, J. (eds) Contemporary Kidney Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-14779-6_19-1
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