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• W2081930248 abstract "No AccessJournal of UrologyTransplantation/vascular surgery1 May 2007Computerized Tomographic Angiography for Renal Donor Evaluation Leads to a Higher Exclusion Rate Andrew M. Strang, Mark E. Lockhart, Philip J. Kenney, Christopher L. Amling, Donald A. Urban, Rizk El-Galley, John R. Burns, Jan L. Colli, Lee N. Hammontree, and Peter N. Kolettis Andrew M. StrangAndrew M. Strang Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , Mark E. LockhartMark E. Lockhart Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , Philip J. KenneyPhilip J. Kenney Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , Christopher L. AmlingChristopher L. Amling Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama Financial interest and/or other relationship with TAP. More articles by this author , Donald A. UrbanDonald A. Urban Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama Financial interest and/or other relationship with Boehringer Ingelheim, Sanofi Aventis and AstraZeneca. More articles by this author , Rizk El-GalleyRizk El-Galley Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , John R. BurnsJohn R. Burns Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , Jan L. ColliJan L. Colli Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , Lee N. HammontreeLee N. Hammontree Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author , and Peter N. KolettisPeter N. Kolettis Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.01.007AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared the exclusion rate for potential living renal donors evaluated with computerized tomography angiography and radionuclide renal scintigraphy (renal scan) vs excretory urogram, renal scan and renal arteriography. Materials and Methods: From March 2004 through February 2006, 603 consecutive patients were evaluated as potential living renal donors. From March 2004 through February 2005, 270 consecutive patients underwent evaluation with excretory urogram, renal scan and renal angiography (group 1). Of these patients 16 underwent computerized tomography to evaluate abnormalities detected on excretory urogram. From March 2005 through February 2006, 333 consecutive patients underwent evaluation with computerized tomography angiography and renal scan (group 2). The number of patients excluded for medical reasons and/or radiographic abnormalities was determined for the 2 groups. Results: More than twice as many patients evaluated with computerized tomography were excluded. In group 1, 7% of patients (20 of 270) were excluded from donation due to radiographic findings vs 16% (53 of 333) in group 2 (p = 0.0016). Of the patients 26% and 23% were excluded from renal donation for medical reasons in groups 1 and 2, respectively (p = 0.5059). Conclusions: Multidetector row computerized tomography angiography increases the detection of incidental radiographic abnormalities as well as the renal donor exclusion rate. The increased sensitivity of computerized tomography angiography has created a dilemma for those determining patient eligibility for kidney donation because the clinical significance of many of these findings is unclear. Additional studies should address the significance of these incidental findings so that patients are not needlessly excluded from kidney donation. References 1 : Laparoscopic donor nephrectomy after seven years. Am J Transplant2002; 2: 896. Google Scholar 2 : Laparoscopic live donor nephrectomy. Transplantation1995; 60: 1047. Google Scholar 3 : Laparoscopic assisted live donor nephrectomy: comparison with the open approach. Transplantation1997; 63: 229. Google Scholar 4 : Is laparoscopic donor nephrectomy the new criterion standard?. Arch Surg2000; 135: 943. Google Scholar 5 : Laparoscopic live donor nephrectomy: is it safe?. Transplantation2000; 70: 602. Google Scholar 6 : Living unrelated donor renal transplantation: a single center experience. J Urol2005; 174: 223. 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Google Scholar 18 : Expanding the living donor pool in renal transplantation: use of marginal donors. J Urol2000; 163: 33. Link, Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byBoyce C, Pickhardt P, Lawrence E, Kim D and Bruce R (2018) Prevalence of Urolithiasis in Asymptomatic Adults: Objective Determination Using Low Dose Noncontrast Computerized TomographyJournal of Urology, VOL. 183, NO. 3, (1017-1021), Online publication date: 1-Mar-2010.Strang A, Lockhart M, Amling C, Kolettis P and Burns J (2018) Living Renal Donor Allograft Lithiasis: A Review of Stone Related Morbidity in Donors and RecipientsJournal of Urology, VOL. 179, NO. 3, (832-836), Online publication date: 1-Mar-2008. Volume 177Issue 5May 2007Page: 1826-1829 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordskidneynephrectomykidney transplantationdigital subtractionangiographyliving donorsMetricsAuthor Information Andrew M. Strang Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Mark E. Lockhart Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Philip J. Kenney Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Christopher L. Amling Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama Financial interest and/or other relationship with TAP. More articles by this author Donald A. Urban Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama Financial interest and/or other relationship with Boehringer Ingelheim, Sanofi Aventis and AstraZeneca. More articles by this author Rizk El-Galley Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author John R. Burns Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Jan L. Colli Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Lee N. Hammontree Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Peter N. Kolettis Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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