|dc.contributor.author||Sungura, Richard E.||
R-ena1transplantation is the preferred treatment of patients suffering
from end stage renal disease. Apart from improving patients' quality of
life, transplantation also confers longevity. Because challenges in
performing vascular anastomosis increase significantly in variant renal
anatomy knowledge on renal vascular anatomy is very important in
the pre surgical workup of potential kidney donors. Ischemic changes
commonly occur following attempts to sacrifice extra branches in
patients with multiple renal arteries. Other complications may include
thrombosis and stenotic lesions increasing the risks of dysfunction in
the transplanted kidney. Bleeding is a common complication during
taparascoptc harvesting of kidneys with multiple arteries. Anatomical
patterns of renal arteries vary geographically and ethnically.
The aim of this study was to determine the pattern of renal arterial
anatomy among Africans, and Its implication on renal transplantation .
The study was a three-year cross sectional descriptive study conducted
at Kenyatta National Hospital from June 2008 to June 201l.
A total of 204 cases including 103 (50.5%) females and 101 (49.5%)
males were recruited for CTA. The mean age of participants was 47.16
years (SO 18.32). The prevalence of accessory arteries was 11.3% and
prevalence of left sided accessory arteries (7.4%) was higher than -.
right-sided accessory arteries (4.9%). Most normal sized kidneys with
accessory arteries had smaller main renal arterial diameters. Extra
renat branching occurred in 14.7% of cases.
Conclusion: The current value of Renal CTA cannot be easily replaced
by simpler noninvasive modalities for indirect and accurate study of
renal vascular anatomy of potential kidney donors.||en
|dc.title||The CT angiography pattern of renal arterial anatomy among Africans and its implication on renal transplantation||en
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya||
|local.publisher||School of medicine, University of Nairobi||en