Type:
Educational Exhibit
Keywords:
Genitourinary, Kidney, CT, MR, Decision analysis, Education, Cysts, Genetic defects, Transplantation, Retrospective, Not applicable, Performed at one institution
Authors:
E. A. Banach-Ambroziak, M. Jankowska, A. Dębska-Ślizień, E. Szurowska; Gdansk/PL
DOI:
10.26044/ecr2020/C-10249
Background
ADPKD is a well-recognised clinical entity, with a multisystemic phenotype, originating from PKD gene mutation[1]. The main clinical presentation is the cystic remodelling of the kidneys, leading to progressive deterioration in their function.
ADPKD is the tenth cause for the implementation of renal replacement therapy; the whose preferred form is kidney transplantation (KTx). Some of the ADPKD patients have unique needs regarding acceptance for the KTx.
Nearly 40% of patients require NKN in the peritransplant period[2]. Majority of procedures are performed before transplantation.
Pretransplant nephrectomy is considered when patients suffer from recurrent urinary tract infections, gross hematuria, loin pain. It is also required when there is limited space for graft placement or in suspicion of malignancy.
Clinical-based qualification criteria are subjective and inconclusive. So far, pretransplant radiological evaluation is not routinely used, while the presumptions about the need for NKN are possible based on MR/CT studies. It is also possible to detect clinically-silent states.