Selective screening imaging of the aortoiliac arterial system in kidney transplant candidates with non‐contrast pelvic computed tomography

نویسندگان

چکیده

Non-contrast pelvic computed tomography (CT) can detect severe iliac artery calcifications that present technical contraindications to kidney transplantation (TCT). We screened 454 asymptomatic patients with a history of any the following: hemodialysis >10 years, diabetes mellitus >20 coronary disease (CAD) percutaneous or surgical interventions, carotid disease, below-/above-knee amputations, and heart-kidney candidacy. Patients normal dorsalis pedis and/or tibialis posterior pulses were not screened. A total 8.4% had TCT; CT determined laterality for implantation in 13.9%. No following characteristics classified as TCT: age <40 arterial prior lower extremity amputation, CAD was associated TCT univariate though multivariate analysis. Limiting screening >40 DM CAD, 9.8% transplant 14.2%. Screening is useful selected candidates over 40. It assist choice surgeon determination TCT. Cost radiation exposure risks should be weighed against morbidity from unnecessary surgery.

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ژورنال

عنوان ژورنال: Clinical transplantation

سال: 2021

ISSN: ['1399-0012', '0902-0063']

DOI: https://doi.org/10.1111/ctr.14331