Renal Transplant Imaging and Intervention: Practical Aspects

Charles V. Zwirewich, MD
University of British Columbia &
Vancouver Hospital & Health Sciences Centre

This tutorial introduces the topic of renal transplantation, discussing patient selection and surgical aspects. There then follows a detailed description of the place of diagnostic imaging and intervention in the management of the complications that occur in these patients. Many example images are included.

Extensive references are provided. Clicking on the reference number will take you to the appropriate place in the reference list; to return to the text click on the highlighted reference number. This will take you back to the first mention of that reference in the text. Alternatively use Back on your browser.

Contents

• Introduction
• Patient Selection and Preparation
• Surgical Technique

• Sonography of Normal Renal Transplants
  • Gray scale imaging
  • Doppler imaging
• Investigation of the Failing Renal Graft
  • Immediate complications (First Week)
  • Early complications (1 Week - 1 Month)
  • Late complications (Over 1 Month)

• Parenchymal Complications
  • Acute Tubular Necrosis (ATN)
  • Rejection
    • Acute Rejection (AR)
    • Accelerated Acute Rejection (AAR)
    • Chronic Rejection (CR)
  • Cyclosporine toxicity
• Vascular Complications
  • Renal Vein Thrombosis or Occlusion (RVT)
  • Renal Artery Thrombosis (RAT)
  • Renal Artery Stenosis (RAS)
• Urologic Complications
  • Urinary fistula and urinoma
  • Ureteral obstruction and hydronephrosis
• Lymphocele
• Procedure Related Complications
  • Haemorrhage
  • Arteriovenous Fistula (AVF)
  • Pseudoaneurysm

• References

Last updated 11th August 1998
Coded by Dr A Downie