The role of dynamic angionephroscintigraphy in the diagnosis of urinary tract incompetence after kidney transplantation-Reference-Cited by-同舟云学术

The role of dynamic angionephroscintigraphy in the diagnosis of urinary tract incompetence after kidney transplantation

Published:2021-06-21 Issue:2 Volume:13 Page:112-120
ISSN:2542-0909
Container-title:Transplantologiya. The Russian Journal of Transplantation
language:
Short-container-title:Transplantologiâ (Mosk.)

Author:

Pinchuk A. V.¹^ORCID,Shmarina N. V.²^ORCID,Migunova E. V.²^ORCID,Rustambek Uulu A.²^ORCID,Kudryashova N. E.²^ORCID,Dmitriev I. V.²^ORCID,Lonshakov D. V.²^ORCID,Balkarov A. G.³^ORCID

Affiliation:

1. N.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Research Institute for Healthcare Organization and Medical Management

2. N.V. Sklifosovsky Research Institute for Emergency Medicine

3. N.V. Sklifosovsky Research Institute for Emergency Medicine; Research Institute for Healthcare Organization and Medical Management

Abstract

Introduction. The urinary tract incompetence ("extravasation of urine") of the renal allograft is the most common urological complication in the early postoperative period.The purpose was to evaluate the efficacy of the dynamic angionephroscintigraphy technique in diagnosing the extravasation of urine after kidney transplantation.Material and methods. The results of dynamic angionephroscintigraphy were analyzed for the purpose of verifying/ diagnosing the extravasation of urine in 63 patients who underwent kidney transplantation at N.V. Sklifosovsky Research Institute for Emergency Medicine in 2019. Dynamic angionephroscintigraphy of the renal allograft was performed with the glomerulotropic 99mTc-pentatech radiopharmaceutical on a two-detector single-photon emission tomography "Infinia II" and a combined CT SPECT / CT system "Discovery NM/CT670".Results. The sensitivity of dynamic angionephroscintigraphy in detecting the extravasation of urine was 100%, the specificity was 88%, and the accuracy of the method was 89%.Conclusion. Dynamic angionephroscintigraphy is a highly sensitive and specific method for diagnosing the extravasation of urine after kidney transplantation.

Publisher

IPO Association of Transplantologists

Reference8 articles.

1. Morris PJ, Knechtle SJ. Kidney transplantation: principles and practice. 7 th ed. Elsevier Science; 2013.

2. Mangus RS, Haag BW, Carter CB. Stented Lich-Gergoir ureteroneocys tostomy: case series report and cost effectiveness analyses. Transplant Proc. 2004;36(10):2959–2961. PMID: 15686670 https://doi.org/10.1016/j.transproceed.2004.10.061

3. Korolyuk IP. Dokazatel'naya radiologiya: osnovnye printsipy i podkhody k ee realizatsii. Radiologiya-praktika. 2007;(5):7–21. (In Russ.).

4. Son H, Heiba S, Kostakoglu L, Machac J. Extraperitoneal urine leak after renal transplantation: the role of radionuclide imaging and the value of accompanying SPECT/CT – a case report. BMC Med Imaging. 2010;10:23. PMID: 20961409 https://doi.org/10.1186/1471-2342-10-23

5. Benjamens S, Berger SP, Glaudemans AWJM, Sanders JSF, Pol RA, Slart RHJA. Renal scintigraphy for post-transplant monitoring after kidney transplantation. Transplant Rev (Orlando). 2018;32(2):102–109. PMID: 29395726 https://doi.org/10.1016/j.trre.2017.12.002