The diagnostic value of Doppler ultrasonography after pediatric kidney transplantation
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| Titel: | The diagnostic value of Doppler ultrasonography after pediatric kidney transplantation |
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| Autoren: | Doris Franke |
| Quelle: | Pediatr Nephrol |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2021. |
| Publikationsjahr: | 2021 |
| Schlagwörter: | Graft Rejection, Ultrasonography/methods [MeSH], Humans [MeSH], Vascular complications, Kidney Transplantation/methods [MeSH], CEUS, Kidney Transplantation/adverse effects [MeSH], Angiography [MeSH], Doppler, Postoperative Complications/diagnostic imaging [MeSH], Graft Rejection/etiology [MeSH], Pediatric kidney transplantation, Graft Rejection/diagnostic imaging [MeSH], Postoperative Complications/etiology [MeSH], Ultrasonography, Kidney/pathology [MeSH], Child [MeSH], Educational Review, Ultrasonography, Doppler [MeSH], Angiography, Ultrasonography, Doppler, Kidney, Kidney Transplantation, 3. Good health, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Humans, Child |
| Beschreibung: | Ultrasonography (US) plays a major diagnostic role in the pre- and post-transplant evaluation of recipient and donor. In most cases, US remains the only necessary imaging modality. After pediatric kidney transplantation, US can ensure immediate bedside diagnosis of vessel patency and possible postoperative non-vascular complications. Criteria for US diagnosis of kidney vessel thrombosis and stenosis in the transplant will be presented. Non-vascular complications after kidney transplantation include hydronephrosis, hematoma, lymphocele, and abscess. US can detect suggestive, but nevertheless non-specific, acute signs (sudden increase in volume and elevated resistive index), and chronic rejection, which therefore remains a histological diagnosis. US is of little or no help in detection of tubular necrosis or drug toxicity, but it can exclude other differential diagnoses. This educational review provides a practical and systematic approach to a multimodal US investigation of the kidney transplant. It includes a short overview on possible indications for contrast-enhanced ultrasonography (CEUS) in children after kidney transplantation. |
| Publikationsart: | Article Other literature type |
| Sprache: | English |
| ISSN: | 1432-198X 0931-041X |
| DOI: | 10.1007/s00467-021-05253-y |
| Zugangs-URL: | https://link.springer.com/content/pdf/10.1007/s00467-021-05253-y.pdf https://pubmed.ncbi.nlm.nih.gov/34477970 https://link.springer.com/article/10.1007/s00467-021-05253-y https://pubmed.ncbi.nlm.nih.gov/34477970/ https://link.springer.com/content/pdf/10.1007/s00467-021-05253-y.pdf https://repository.publisso.de/resource/frl:6449722 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . |
| Dokumentencode: | edsair.doi.dedup.....1e22bbb2a4a66a9831103b04b306f8c4 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Ultrasonography (US) plays a major diagnostic role in the pre- and post-transplant evaluation of recipient and donor. In most cases, US remains the only necessary imaging modality. After pediatric kidney transplantation, US can ensure immediate bedside diagnosis of vessel patency and possible postoperative non-vascular complications. Criteria for US diagnosis of kidney vessel thrombosis and stenosis in the transplant will be presented. Non-vascular complications after kidney transplantation include hydronephrosis, hematoma, lymphocele, and abscess. US can detect suggestive, but nevertheless non-specific, acute signs (sudden increase in volume and elevated resistive index), and chronic rejection, which therefore remains a histological diagnosis. US is of little or no help in detection of tubular necrosis or drug toxicity, but it can exclude other differential diagnoses. This educational review provides a practical and systematic approach to a multimodal US investigation of the kidney transplant. It includes a short overview on possible indications for contrast-enhanced ultrasonography (CEUS) in children after kidney transplantation. |
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| ISSN: | 1432198X 0931041X |
| DOI: | 10.1007/s00467-021-05253-y |