Lege Artis Medicinae

[The role of baseline duplex sonographic examination in monitoring the transplanted kidney in the early postoperative period]

MORVAY Zita1, MAROFKA Ferenc2, CSAJBÓK Ernő2, SZENOHRADSZKY Pál2

AUGUST 31, 1994

Lege Artis Medicinae - 1994;4(08)

[Routine baseline duplex sonography and sonographic monitoring have been performed afer kidney transplantation at our University since November, 1992. Data on 24 patients are analysed. Baseline sonograms were assessed as normal in 18 patients. Abnormalities involved collecting system dilatation, and swelling of the parenchyma. In every case in which the transplanted kidney had to be removed because of serious complications, we observed morphological changes in the follow-up examination. The resistance index (ARI) measured during duplex Doppler examinations was higher than 75% in 8 of the 24 cases. Four of these grafts had to be removed. From among the 16 cases having normal baseline RI, only 2 kidneys were lost during the postoperative period. Baseline and follow-up duplex sonographic examinations were found to have an important role in the management of kidney transplanted patients. Early complications can be detected, therapy can be initiated in time, and the changes occurring during follow-up can be evaluated more sensitively. ]

AFFILIATIONS

  1. Radiológiai Klinika Szent-Györgyi Albert Orvostudományi Egyetem, Szeged
  2. Sebészeti Klinika Szent-Györgyi Albert Orvostudományi Egyetem, Szeged

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