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RENAL ARTERY STUDY IN POTENTIAL RENAL DONORS BY INTRA-ARTERIAL DIGITAL SUBTRACTION ANGIOGRAPHY


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Category
Articles
Publisher
Elsevier
Publishing Date
01-May-2014
volume
2
Issue
1
Pages
1-6
  • Abstract

Aim: To provide quantitative data on the occurrence of accessory renal arteries in Indian population. Materials & Methods: Renal arteries were studied in 97 subjects. The arteriograms were obtained from the department of Vascular and Interventional radiology of Seth G.S. Medical College & K.E.M. Hospital, Lower Parel, Mumbai. The consent of the ethics committee was taken prior to the data collection and analysis. The total number of subjects studied was 97 out of which 48 were males and 49 were females. The total number of renal arteries studied was 194. The subjects’ age ranged from 15 to 80 years (mean 49.5). Intra-arterial digital subtraction angiography was performed via per-cutaneous puncture through transfemoral approach. Observations: Intra-arterial digital subtraction angiography was done in 97 subjects and the following result was obtained, bilateral single renal artery was found in 78.35%, single accessory renal artery on the right side was 5.15%, on the left side was 9.28%, two accessory renal arteries on the right side was 2.06%, none on the left side, three accessory renal arteries on the right side was 1.03%, none on the left side. The presence of accessory renal arteries with respect to side, was found to be 12.37% on the right side and 13.4% on the left side. Conclusion: The study was conducted on Indian subjects and the data is comparable with western literature. Kidneys with single renal arteries are used preferentially for donation over those with multiple vessels to facilitate the donor and recipient operations. Kidneys with multiple vessels are more difficult to transplant and have higher risk of complications associated with an area of potential ischemia.