The role of dynamic angionephroscintigraphy in the diagnosis of urinary tract incompetence after kidney transplantation
A. V. Pinchuk,
N. V. Shmarina,
E. V. Migunova,
A. Rustambek Uulu,
N. E. Kudryashova,
I. V. Dmitriev,
D. V. Lonshakov,
A. G. Balkarov https://doi.org/10.23873/2074-0506-2021-13-2-112-120
Abstract
Introduction. The urinary tract incompetence ("extravasation of urine") of the renal allograft is the most common urological complication in the early postoperative period.
The purpose was to evaluate the efficacy of the dynamic angionephroscintigraphy technique in diagnosing the extravasation of urine after kidney transplantation.
Material and methods. The results of dynamic angionephroscintigraphy were analyzed for the purpose of verifying/ diagnosing the extravasation of urine in 63 patients who underwent kidney transplantation at N.V. Sklifosovsky Research Institute for Emergency Medicine in 2019. Dynamic angionephroscintigraphy of the renal allograft was performed with the glomerulotropic 99mTc-pentatech radiopharmaceutical on a two-detector single-photon emission tomography "Infinia II" and a combined CT SPECT / CT system "Discovery NM/CT670".
Results. The sensitivity of dynamic angionephroscintigraphy in detecting the extravasation of urine was 100%, the specificity was 88%, and the accuracy of the method was 89%.
Conclusion. Dynamic angionephroscintigraphy is a highly sensitive and specific method for diagnosing the extravasation of urine after kidney transplantation.
About the Authors
A. V. Pinchuk
N.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Research Institute for Healthcare Organization and Medical Management
Russian Federation
Russian Federation
Aleksey V. Pinchuk, Dr. Sci. (Med.), Head of the Scientific Department of Kidney and Pancreas Transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine, Associate Professor of the Department of Transplantology and Artificial Organs, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Head of the Organizational and Methodological Department for Transplantology, Research Institute for Healthcare Organization and Medical Management
3 Bolshaya Sukharevskaya Sq., Moscow 129090
1 Bldg. 20 Delegatskaya St., Moscow 127473
30 Bolshaya Tatarskaya St., Moscow 115184
N. V. Shmarina
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Nonna V. Shmarina, Cand. Sci. (Med.), Senior Researcher, Department of Kidney and Pancreas Transplantation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
E. V. Migunova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Ekaterina V. Migunova, Cand. Sci. (Med.), Senior Researcher, Department of Diagnostic Radiology
3 Bolshaya Sukharevskaya Sq., Moscow 129090
A. Rustambek Uulu
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Alisher Rustambek Uulu, Physician of the Department of Kidney and Pancreas Transplantation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
N. E. Kudryashova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Natalya E. Kudryashova, Dr. Sci. (Med.), Chief Researcher, Department of Diagnostic Radiology
3 Bolshaya Sukharevskaya Sq., Moscow 129090
I. V. Dmitriev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Ilya V. Dmitriev, Cand. Sci. (Med.), Head of the Clinical Department of Kidney and Pancreas Transplantation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
D. V. Lonshakov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Denis V. Lonshakov, Physician of the Department of Kidney and Pancreas Transplantation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
A. G. Balkarov
N.V. Sklifosovsky Research Institute for Emergency Medicine; Research Institute for Healthcare Organization and Medical Management
Russian Federation
Russian Federation
Aslan G. Balkarov, Cand. Sci. (Med.), Doctor of the Department of Kidney and Pancreas Transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine, Leading Specialist of the Organizational and Methodological Department for Transplantology, Research Institute for Healthcare Organization and Medical Management
3 Bolshaya Sukharevskaya Sq., Moscow 129090
30 Bolshaya Tatarskaya St., Moscow 115184
References
1. Morris PJ, Knechtle SJ. Kidney transplantation: principles and practice. 7 th ed. Elsevier Science; 2013.
2. Mangus RS, Haag BW, Carter CB. Stented Lich-Gergoir ureteroneocys tostomy: case series report and cost effectiveness analyses. Transplant Proc. 2004;36(10):2959–2961. PMID: 15686670 https://doi.org/10.1016/j.transproceed.2004.10.061
3. Korolyuk IP. Dokazatel'naya radiologiya: osnovnye printsipy i podkhody k ee realizatsii. Radiologiya-praktika. 2007;(5):7–21. (In Russ.).
4. Son H, Heiba S, Kostakoglu L, Machac J. Extraperitoneal urine leak after renal transplantation: the role of radionuclide imaging and the value of accompanying SPECT/CT – a case report. BMC Med Imaging. 2010;10:23. PMID: 20961409 https://doi.org/10.1186/1471-2342-10-23
5. Benjamens S, Berger SP, Glaudemans AWJM, Sanders JSF, Pol RA, Slart RHJA. Renal scintigraphy for post-transplant monitoring after kidney transplantation. Transplant Rev (Orlando). 2018;32(2):102–109. PMID: 29395726 https://doi.org/10.1016/j.trre.2017.12.002
6. Zavos G, Pappas P, Karatzas T, Karidis NP, Bokos J, Stravodimos K, et al. Urological complications: analysis and management of 1525 consecutive renal transplantations. Transplant Proc. 2008;40(5):1386–90. PMID: 18589113 https://doi.org/10.1016/j.transproceed.2008.03.103
7. Dinckan A, Tekin A, Turkyilmaz S, Kocak H, Gurkan A, Erdogan O, et al. Early and late urological complications corrected surgically fol lowing renal transplantation. Transpl Int. 2007;20(8):702–707. PMID: 17511829 https://doi.org/10.1111/j.1432-2277.2007.00500.x
8. Lubin E, Shapira Z, Melloul M, Youssim A. Scintigraphic detection of vascular and urological complications in the transplanted kidney: 133 cases. Eur J Nucl Med. 1985;10(7–8):313–316. PMID: 3891349 https://doi.org/10.1007/BF00251303
Review
For citations:
Pinchuk A.V., Shmarina N.V., Migunova E.V., Rustambek Uulu A., Kudryashova N.E., Dmitriev I.V., Lonshakov D.V., Balkarov A.G. The role of dynamic angionephroscintigraphy in the diagnosis of urinary tract incompetence after kidney transplantation. Transplantologiya. The Russian Journal of Transplantation. 2021;13(2):112-120. https://doi.org/10.23873/2074-0506-2021-13-2-112-120
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