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Congress: ECR25
Poster Number: C-20481
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-20481
Authorblock: P. P. Lama, S. Morón Hodge, C. Oterino Serrano, L. Maté Miguel, L. T. Arnas, J. Rey Porras, J. Guisández Martín, S. Agueda Martín, C. Martín Hervás; Madrid/ES
Disclosures:
Pablo Pazos Lama: Nothing to disclose
Sara Morón Hodge: Nothing to disclose
César Oterino Serrano: Nothing to disclose
Laura Maté Miguel: Nothing to disclose
Laura Tello Arnas: Nothing to disclose
Jorge Rey Porras: Nothing to disclose
Jorge Guisández Martín: Nothing to disclose
Sonia Agueda Martín: Nothing to disclose
Carmen Martín Hervás: Nothing to disclose
Keywords: Abdomen, Kidney, CT, Ultrasound, Ultrasound-Colour Doppler, Education, Transplantation
Learning objectives The objective of this study is to review the systematic approach for performing ultrasound in transplant patients. The most characteristic ultrasound findings of different complications will be presented, along with CT findings in some cases. A structured report will also be proposed.
Read more Background The kidney is the most frequently transplanted solid organ worldwide. According to data from the National Transplant Organization, there has been a progressive increase in the number of transplants in recent years.The role of the radiologist has become essential in the early assessment of post-surgical complications. Early detection of these complications increases the chances of graft survival.Ultrasound is the primary diagnostic technique for post-transplant pathology. A proper systematic approach improves the interpretation of findings, reduces the likelihood of errors, and...
Read more Findings and procedure details Before performing an ultrasound examination of a transplanted kidney, several factors related to the patient and the type of surgery must be investigated and considered: Donor type: living or deceased Time elapsed since surgery Graft location Type of anastomosis Complications during surgery Previous surgical history Associated comorbidities Clinical suspicion After reviewing these clinical history details, the patient is evaluated using ultrasound as the primary technique. A baseline ultrasound with B-mode imaging and Doppler study is typically performed within the first 48 hours after surgery. The timing of subsequent follow-up...
Read more Conclusion The kidney is the most frequently transplanted organ worldwide. Ultrasound is the preferred technique for the initial diagnosis and assessment of potential complications following surgery. A proper systematic approach during ultrasound allows for the early detection of processes that could lead to unfavorable graft outcomes. Early detection of these complications enables prompt therapeutic intervention, ultimately helping to prevent transplant loss.The most common post-transplant complications have been briefly described, and a structured report has been proposed to facilitate a proper systematic...
Read more References Sugi MD,Joshi G, Maddu KK, Dahiya N, Menias CO. Imaging of Renal Transplant Complications throughout the Life of the Allograft: Comprehensive Multimodality Review. Radiographics. 2019;39(5):1327–55. AlKatib S, Shetty M, Jafri SMA, Jafri SZH. Radiologic Assessment of Native Renal Vasculature: A Multimodality Review. RadioGraphics. 2017 Jan;37(1):136–56. Irshad A, Ackerman S, Sosnouski D, Anis M, Chavin K, Baliga P. A Review of Sonographic Evaluation of Renal Transplant Complications. Curr Pro bl Diagn Radiol. 2008 Mar;37(2):67–79. Sebastià C, Quiroga S, Boyé R, Cantarell C, Fernandez-Planas M,...
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