medigraphic.com

2003, Número 3

<< Anterior Siguiente >>

Anales de Radiología México 2003; 2 (3)


Ultrasonido triplex - poder vs gammagrafía en diagnóstico de rechazo agudo de riñón trasplantado

Quiroz MR, Hernández TCG, Estrada OJ, Lagunas TJC, Martínez SM

Idioma: Español
Referencias bibliográficas: 43
Paginas: 141-146
Archivo PDF: 302.91 Kb.


RESUMEN

El objetivo de este artículo es determinar la relación del US Triplex-poder y gamagrafía en diagnóstico de rechazo agudo del riñón trasplantado, es este un estudio observacional, prospectivo y transversal.
En un periodo del 16 de octubre de 2001 al 10 de febrero de 2003, se enviaron para realizar ultrasonido (US) a pacientes con trasplante renal entre los 7 a 90 días, del C.M.N.
“Adolfo Ruiz Cortinez”. Los resultados se compararon con sus gammagrafías. Los procedimientos estadísticos fueron el coeficiente de correlación de Spearman y Chi cuadrada. Se examinaron 25 pacientes por US y gammagrafía, 15 mujeres (60%) y 10 hombres (40%). Del total, cuatro (16%) con diagnóstico de rechazo agudo por US y dos (8%) por gammagrafía. Hubo siete Gammagrafías alteradas (28%), dos (8%) con rechazo y cinco (20%) con necrosis tubular aguda (NTA), mientras que sólo seis ultrasonidos (24%) tuvieron alteraciones de perfusión. La correlación obtenida fue de moderada a buena. Las diferencias observadas entre el grado de perfusión sonográfica y presencia de alteraciones gammagráficas no fueron estadísticamente significativas (x2 = 0.10, p › 0.05) para diagnóstico de rechazo agudo. La correlación entre el grado de perfusión sonográfica y presencia de gammagrama alterado fue excelente (rs = 0.98) para rechazo agudo.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. S. Pedrosa C, Casanova Gómez R. Diagnóstico por imagen. Tratado de Radiología Clínica. Edit. Mc Graw-Hill Interamericana 2000; 2: 974.

  2. Federle MP. Milestones and future trends in solid organ transplantation. Radiologic Clinics of North America 1995; 33: 417- 434.

  3. Oliver III JH. Clinical indications, recipient evaluation, surgical considerations, and the role of CT and MR in renal transplantation. Radiologic Clinics of North America 1995; 33: 435- 446.

  4. Tublin ME, Dod III GD. Sonography of renal transplantation. Radiologic Clinics of North America. 1995; 33: 447-459.

  5. Verges S, Lich H, Barton P. Renal transplant hemodynamics in children prospective analysis of colour coded versus pulsed Doppler sonography. Pediatr Radiol 1992; 22: 163-168.

  6. Hricak H, Terrier F, Demas BE. Radiology 1986; 159: 435-441.

  7. Barry DK, Ponticelli C. Principles and Practice of renal transplantation. Reprinted 2001. Novartis Pharma A.G. CH- 4002. Basel, Switzerland Novartis Transplantation and Inmunology.

  8. Perrella RR, Duerincky AJ, Tessler FN, et al. Evaluation of renal transplant dysfunction by duplex Doppler sonography: a prospective study and review of literature. Am J Kidney Dis 1990;15: 544 – 550.

  9. Shah AN. Radionuclide imaging in organ transplantation. Radiologic Clinics of North America 1995; 33: 473- 496.

  10. Rumack CM, Wilson SR, Charboneau JW. Diagnóstico por Ecografía. Tomo 1. Segunda edición. Editorial Marban. 1999.

  11. Rush D, Grimm P, Jeffrey J, et al. Predicting rejection. 1999; 2: S31 – S35.

  12. Colvin R B, Cohen AH, Saiontz C, et al. Evaluation of pathologic criteria for acute renal allograft rejection, reproducibility sensitivity and clinical correlation. J Am Soc Nephrol 1997; 8: 1930 - 1941.

  13. Roberts JP, Ascher NL, Fryd DS, et al. Transplant renal artery stenosis. Transplantation 1989; 4: 580- 583.

  14. Mittelstaedt CA. Ecografía General Editorial. Marban. 1998; 999 - 1029.

  15. Brink JA. Technical aspects of helical (spiral) CT. Radiologic Clinics of North America, 1995; 33: 825- 841.

  16. Rubin GD, Silverman SG. Helical (spiral) CT of the retroperitoneum. Radiologic Clinics of North America 1995; 33: 903- 932.

  17. Sabastia C, Quiroga S, Boyé R, Cantarell C, Fernández-Planas M, Alvarez A. Helical CT in renal transplantation: normal findings and early and late complications. RadioGraphics 2001; 21: 1103-1117.

  18. Thrasher JB, Temple DR, Spees EK. Extravesical versus Leadbetter-Politano ureteroneocystostomy: a comparison of urological complications in 320 renal transplants. Journal Urology 1990; 144: 1105-1109.

  19. Shoskes DA, Hanbury D, Cranston D, Morris PJ. Urological Complications in 1,000 consecutive renal transplant recipients. Journal Urology 1995; 153: 18-21.

  20. Grenier N, Douws C, Morel D, Ferriére JM, Le Guillou M, Potaux L, Broussin J. Detection of vascular complications in renal allograft with color Doppler flow imaging. Radiology 1991; 178: 217 – 223.

  21. Hohnke C, Abendroth D, Schleibner S. Vascular complications in 1200 kidney transplantations. Transplant Proc 1987; 19: 3691- 3692.

  22. Jordan ML, Cook GT, Cardell C J. Ten years of experience with vascular complications in renal transplantation. J Urology 1982; 128: 689-692.

  23. Munda R, Alexander WJ, Miller S, et al. Renal allograft artery stenosis. Am J Surg 1977; 134: 400 – 403.

  24. Palleschi J, Novick AC, Braun WE, et al. Vascular complications of renal transplantation. Urology 1980; 16: 61-67.

  25. Orons OD, Zajko AB. Angiography and interventional aspects of the renal transplantation. Radiologic Clinics of North America 1995; 33: 461 – 471.

  26. Reuther G, Wanjura D, Bauer H. Acute renal vein thrombosis in renal allograft: Detection with duplex Doppler US. Radiology 1989; 170: 557- 558.

  27. Kim EE, Pjura G, Lowry P, Verani R, Sandler C, Flechner S, Kahan B. Cyclosporin-A Nephrotoxicity and Acute Cellular Rejection in Renal Transplant Recipients: correlation between Radionuclide and Histological Findings. Radiology 1986; 159: 443 – 446.

  28. Lu M, Yin XY. Quantitative assessment of power Doppler mapping in the detection of renal allograft complications. Journal of Clinical Ultrasound 1999; 27: 319-323.

  29. Kinnaert P, Hall M, Janssen F. Ureteral stenosis after kidney transplantation. True incidence and long- term follow-up after surgical correction. Journal Urology 1985; 133: 17-20.

  30. Turetschek K, Nasel C, Wunderbaldinger P, Diem K, Hittmair K, Mostbeck GH. Power Doppler versus color Doppler imaging in renal allograft evaluation. J Ultrasound Med 1996; 15: 517- 522.

  31. Trillaud H, Merville P, Tran Le Linh P, Palussiere J, Potaux L, Grenier N. Colour Doppler sonography in early renal transplantation follow-up: resistive index measurements versus power Doppler sonography. Am J Roentgenol 1998; 171: 1611- 1615.

  32. Quarto di Palo F, Rivolta R, Elli A, Castagnone D. Relevance of resistive index ultrasonografic measurement in renal transplantation. Nephron 1996; 73: 195-200.

  33. Sidhu MK, Gambhir S, Jeffrey RB, Graham SF, Li CPK, Krieger RN, Alfrey JE, Scandling DJ. Power Doppler imaging of acute renal transplant rejection. Journal of Clinical Ultrasound 1999; 27:171- 175.

  34. Chow L, Graham SF, Huang J, Li CPK. Power Doppler imaging and resistance index measurement in the evaluation of acute renal transplant rejection. Journal of Clinical Ultrasound 2001; 29: 483- 490.

  35. Brown ED, Chen MYM, Wolfman NT, Ott DJ, Watson NE. Complications of renal transplantation: Evaluation with US and Radionuclide Imaging. RadioGraphics 2000; 20: 607 – 622.

  36. Nagano T, Ikegami M, Akiyama T, Kurita T. Evaluation of blood flow in transplanted kidney by flow profile. Nippon Hinyokika Gakkai Zasshi 1999; 90: 470-474.

  37. Martinoli C, Pretolesi F, Crespi G, Bianchi S, Gandolfo N, Valle M, Derchi LE. Power Doppler sonography: clinical applications. Eur J Radiol 1998; 27: S133-5140.

  38. Preidler KW, Szolar DM, Uggowitzer M, Stiskal M, Horina J. Technical note: comparison of color Doppler energy sonography with conventional color Doppler sonography in detection of flow signal in peripheral renal transplant vessels. Br J Radiol 1995; 68: 1103 - 1105.

  39. Preidler KW, Riccabona M, Solar DM, Kammerhuber F, Sorantin E, Horina J. Detection of perfusion of kidney transplants. Comparison between color- coded and amplitude- coded Doppler ultrasound. Ultraschall Med 1996; 17: 243 - 246.

  40. Hoyer PF, Schmid R, Wunsch L, Vester U. Color Doppler energy a new technique to study tissue perfusion in renal transplants. Pediatr Nephrol 1999; 13: 559 - 563.

  41. Quarto di Palo F, Rivolta R, Elli A, Castagnone D. The web functioning renal graft evaluated by color Doppler flowmetry. Nephron 1995; 70: 314 - 318.

  42. Zatura F, Utikalova A, Folprecht M, Jaros J, Bachleda P. Grossmanova T. Ultrasonographic examination in the follow-up of patients alters kidney transplantation. Rozhl Chir (Czech Republic) 1995; 74: 331-333.

  43. Migaleddu V, Gallus A, Picciau M, Canalis GC. Role of color flow mapping ultrasonography in kidney transplant monitoring. Arch Ital Urol Androl (Italy) 1996; 68: 183-190.




2020     |     www.medigraphic.com