L’ecografia del rene trapiantato: caratteristiche specifiche e utilizzo nella pratica clinica

  • Carlo Maria Alfieri UOC di Nefrologia, dialisi e trapianto renale, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico and Dipartimento di scienze cliniche e di comunità, Università di Milano, Milano - Italia http://orcid.org/0000-0003-3860-5219
  • Marianna Tangredi Scuola di specializzazione in Nefrologia, Università di Milano and Scuola di specializzazione in nefrologia, Università di Milano, Milano - Italia
  • Silvia Giuliani Scuola di specializzazione in Nefrologia, Università di Milano and Scuola di specializzazione in nefrologia, Università di Milano, Milano - Italia
  • Piergiorgio Messa UOC di Nefrologia, dialisi e trapianto renale, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico and Dipartimento di scienze cliniche e di comunità, Università di Milano, Milano - Italia
Parole chiave: CEUS, Echo color Doppler, Renal transplantation, Ultrasonography

Abstract

Renal transplantation (RTx) is at the moment the best therapy for end stage renal disease. In recent years, the increase of the global knowledge about immunology and RTx complications allowed a significant increase in the duration of RTx and in patients’ survival.

RTx ultrasound gives to transplant clinicians the possibility of carrying out a structural monitoring of the graft from the beginning throughout the duration of the RTx. Then, ultrasound is a first-level method that all clinicians should be able to perform and interpret.

In this paper we will present some basic concepts about the ultrasound image of the “healthy” transplanted kidney, relating them to the main pathological pictures that may occur during a clinical-ultrasound monitoring of the RTx.

Finally, some concepts regarding the use and usefulness of ultrasound with contrast media (CEUS) in the evaluation and the follow-up of RTx will be discussed.

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Pubblicato
2020-10-16
Sezione
Reviews