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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 REVIEW ARTICLE CME ARTICLE Renal Transplants What Ultrasound Can and Cannot Do David O. Cosgrove, MA, MSc, FRCP, FRCR* and Kakit Ed Chan, MBChB, MRCPÞ LEARNING OBJECTIVES Abstract: Renal transplantation has emerged as the most cost- 1. Identify the strengths and limitations of ultrasound for effective and patient-supportive way to treat chronic renal failure, renal transplants. with excellent graft survival rates thanks to improved surgical 2. List the available ultrasound techniques for renal techniques and rejection management. Its success has placed a heavy transplants. burden on imaging, especially ultrasound, which is used in the 3. List the intrarenal and extrarenal complications according selection of live donors and in monitoring each stage of the to their likely time of appearance after renal transplantation. postoperative care of the recipient. Ultrasound is particularly useful for detecting vascular complica- enal transplantation has been one of the triumphs of tions such as early occlusions and arterial stenosis. It can detect and Rmodern surgery and medicine, with recipients anticipating monitor perinephric complications and transplant hydronephrosis, 1,2 and 90% to 95% graft survival rate. The procedure has all clinically significant complications that affect management. almost become a victim of
Ultrasound quarterly – Wolters Kluwer Health
Published: Jun 1, 2008
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