Variations et anomalies néphrologiques, vasculaires et urologiques chez les candidats au don vivant rénal [Renal, vascular and urological variations and abnormalities in living kidney donor candidates]

Détails

ID Serval
serval:BIB_9F326C6AD690
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Variations et anomalies néphrologiques, vasculaires et urologiques chez les candidats au don vivant rénal [Renal, vascular and urological variations and abnormalities in living kidney donor candidates]
Périodique
Progres en urologie
Auteur(s)
Costa A., Matter M., Pascual M., Doerfler A., Venetz J.P.
ISSN
1166-7087 (Print)
ISSN-L
1166-7087
Statut éditorial
Publié
Date de publication
03/2019
Peer-reviewed
Oui
Volume
29
Numéro
3
Pages
166-172
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The aim of this study was to determine the prevalence of anatomic variations (renal, vascular and urological) and acquired renal pathologies in living kidney donor candidates (LKDC).
This is a retrospective study of all LKDC referred to our center between April 2003 and September 2014. Of the 491 LKDC, 189 were initially excluded for medical reasons (n=140) or others reasons (n=49), without undergoing a radiological assessment. In total, 302 had a radiological assessment (angio-CT or MRI) in anticipation of the donation and 226/302 (73.5%) could donate a kidney.
One or more anatomical variations and/or acquired abnormalities were observed in 178/302 (58.9%) of the LKDC. The most frequent were arterial variations or abnormalities (multiple arteries, fibrodysplasia, aneurysms, stenosis≥70%) which where observed in 39.3% of the LKDC, followed by the venous abnormalities (27.8%). Kidney stones were observed in 5.6% of the LKDC and the urinary abnormalities (duplication/ureteral bifidity) were found in 3% of the LKDC. No malignant tumour was diagnosed, while 4 benign tumours (1.3%) were identified, and one of them required additional investigations.
We found a high prevalence of anatomical variations and acquired abnormalities in a population of LKDC. However, these findings resulted in the exclusion of only 4% of the candidates, because they did not contraindicate the donation or, in most of cases, the contralateral kidney could be used.
3.
Mots-clé
Donor Selection/methods, Humans, Kidney/abnormalities, Kidney/pathology, Kidney Calculi/epidemiology, Kidney Transplantation/methods, Living Donors/statistics & numerical data, Retrospective Studies, Anatomical variation, Don vivant, Living donor, Nephrology, Néphrologie, Renal transplantation, Transplantation rénale, Urologie, Urology, Variations anatomiques
Pubmed
Web of science
Création de la notice
25/03/2019 8:40
Dernière modification de la notice
20/08/2019 15:05
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