Evaluation Of Renal Arteries In Living Donors With Digital Subtraction Angiography

The objective of this study was to evaluate renal arteries in living kidney candidate donors through DSA as well as compare and contrast the findings with surgical findings. 180 kidney donor candidates were evaluated through retrospective analysis and findings were compared and contrasted with surgical operation notes. DSA images of kidney donor candidates collected from the back-up service were randomly and independently from patient credentials examined in laboratory stations through retrospective analysis by two experienced radiologists. According to DSA findings of 180 kidney donor candidates, 158 donors (87,8%) were diagnosed with single renal artery and 22 donors (12,2%) were diagnosed with multiple renal artery while 156 donors (86,6%) were diagnosed with single renal artery and 24 donors (13,3%) were diagnosed with multiple renal artery according to surgical operation notes. Comparing and contrasting DSA findings with those of surgical operation notes, it was marked that 154 donors owned the same findings while 6 donors were diagnosed with different findings. In accordance with these findings, our accuracy rate was 96% and our sensitivity and specificity ratios in multiple renal artery diagnosis were measured as 83% and 98% respectively based on operation notes. It is of great significance to evaluate left side renal arteries accurately as well as to identify their variations in living kidney donors. DSA is regarded as golden standard in imaging vascular structure of kidney and it proves the pace, normal anatomy as well as variations of renal arteries accurately and in great detail.