Ultrasound of renal transplantation: specific characteristics and use in clinical practice

Authors

  • 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 https://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

DOI:

https://doi.org/10.33393/gcnd.2020.2180

Keywords:

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.

Downloads

Download data is not yet available.

References

Vollmer WM, Wahl PW, Blagg CR. Survival with dialysis and transplantation in patients with end-stage renal disease. N Engl J Med. 1983;308(26):1553-58.

McCullough KP, Keith DS, Meyer KH, Stock PG, Brayman KL, Leichtman AB. Kidney and pancreas transplantation in the United States, 1998-2007: access for patients with diabetes and end-stage renal disease. Am J Transplant. 2009;9(4 Pt 2):894-906.

Granata A, Clementi S, Londrino F, et al. Renal transplant vascular complications: the role of Doppler ultrasound. J Ultrasound. 2014;18(2):101-7. Published 2014 Apr 11.

Greco F, Alba S, Fornara P, Mirone V. Renal transplantation: technical aspects, diagnosis and management of early and late urological complications. Panminerva Med. 2016;58(4):294-303.

Irshad A, Ackerman S, Sosnouski D, Anis M, Chavin K, Baliga P. A review of sonographic evaluation of renal transplant complications. Curr Probl Diagn Radiol. 2008;37(2):67-79.

Naik RH, Shawar SH. Renal Transplantation Rejection. In: StatPearls. Treasure Island (FL): StatPearls Publishing. May 30, 2020.

Kamath NS, John GT, Neelakantan N, Kirubakaran MG, Jacob CK. Acute graft pyelonephritis following renal transplantation. Transpl Infect Dis. 2006;8(3):140-7.

Eilers E, Moter A, Bollmann R, Haffner D, Querfeld U. Intrarenal abscesses due to Ureaplasma urealyticum in a transplanted kidney. J Clin Microbiol. 2007;45(3):1066-8.

Dodd GD 3rd, Tublin ME, Shah A, Zajko AB. Imaging of vascular complications associated with renal transplants. AJR Am J Roentgenol. 1991;157(3):449-59.

Snider JF, Hunter DW, Moradian GP, Castaneda-Zuniga WR, Letourneau JG. Transplant renal artery stenosis: evaluation with duplex sonography. Radiology. 1989;172(3 Pt 2):1027-30.

Samhan M, Al-Mousawi M, Hayati H, Abdulhalim M, Nampoory MR. Urologic complications after renal transplantation. Transplant Proc. 2005;37(7):3075-6.

Bennett LN, Voegeli DR, Crummy AB, McDermott JC, Jensen SR, Sollinger HW. Urologic complications following renal transplantation: role of interventional radiologic procedures. Radiology. 1986;160(2):531-6.

Di Carlo HN, Darras FS. Urologic considerations and complications in kidney transplant recipients. Adv Chronic Kidney Dis. 2015;22(4):306-11.

Messa P, Cafforio C, Alfieri C. Calcium and phosphate changes after renal transplantation. J Nephrol. 2010;23(Suppl 16):S175-81.

Published

2020-10-16

How to Cite

Alfieri, C. M., Tangredi, M., Giuliani, S., & Messa, P. (2020). Ultrasound of renal transplantation: specific characteristics and use in clinical practice. Giornale Di Clinica Nefrologica E Dialisi, 32(1), 135–142. https://doi.org/10.33393/gcnd.2020.2180
Received 2020-08-27
Accepted 2020-09-04
Published 2020-10-16

Metrics