Research Article
BibTex RIS Cite

Year 2023, Volume: 17 Issue: 1, 5 - 12, 30.04.2023

Atilla Satır Meriç Yıldız Yılmaz Murat Ozturk Erdoğan Şendemir Hakan Demirci

Abstract

References

  • Gupta M, Kaul NV, Shukla AK. A contrast-enhanced MDCT study on the morphology of renal vessels, their variations and clinical implications. International Journal of Anatomy and Research 2022;10:8275–82.
  • Gulas E, Wysiadecki G, Szymański J, Majos A, Stefańczyk L, Topol M, Polguj M. Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries. Arch Med Sci 2018;14:442–53.
  • Rosenblum ND, Baskin LS. Renal ectopic and fusion anomalies. [Internet]. [Retrieved on February 12, 2023]. Available from: https://medilib.ir/uptodate/show/6107
  • Agarwal S, Yadav RN, Kumar M, Sankhwar S. Horseshoe kidney with unilateral single ectopic ureter. BMJ Case Rep 2018;2018:bcr2017223913.
  • Jose N, Jayaprakash V, Deiva A, Sai V, Jayakumar M. Renal angiographic evaluation of prospective renal donors: Single-center data and outcome analysis from South India – A retrospective observational study. Indian Journal of Transplantation 2021;15:24–8.
  • Abas R, Asri SFM, Nor NHM, Basir R, Subramaniam SD. A case report of superior bilateral aberrant renal arteries with accessory left renal vein. Journal of Health and Translational Medicine 2022;25:5–8.
  • Madhunarayana B, Rao S, Rajagopalan R. Retro-aortic left renal vein draining into left common iliac vein: a rare renal vein anomaly and its significance. International Journal of Anatomical Variations 2019;12:1.
  • Gupta A, Gupta R, Singal R. Congenital variations of renal veins: embryological background and clinical implications. Journal of Clinical and Diagnostic Research 2011;5:1140–3.
  • Agarwal S, Aiyappan SK, Mathuram AC, Raveendran NH, Valsala VS. Prevalence of renal vascular variations in patients subjected to contrast CT abdomen. International Journal of Contemporary Medicine Surgery and Radiology 2019;4:B114–9.
  • Dodeja A, Mane R, Mukherjee A, Dodeja A. A rare case report of bilateral duplication of ureter along with presence of accessory renal vein: embryological basis and clinical implication. International Journal of Medical Science and Current Research 2020;3:94.
  • Ikidag MA, Uysal E. Evaluation of vascular structures of living donor kidneys by multislice computed tomography angiography before transplant surgery: is arterial phase sufficient for determination of both arteries and veins? Journal of the Belgian Society of Radiology 2019;103:23.
  • Kumaresan M, Pk S, Gunapriya R, Karthikeyan G, Priyadarshini A. Morphometric study of renal vein and its variations using CT. Indian Journal of Medical Research and Pharmaceutical Sciences 2016;3:41–9.
  • Haferkamp A, Dörsam J, Möhring K, Wiesel M, Staehler G. Ureteral complications in renal transplantation with more than one donor ureter. Nephrol Dial Transplant 1999;14:1521–4.
  • Palmieri BJ, Petroianu A, Silva LC, Andrade LM, Alberti LR. Study of arterial pattern of 200 renal pedicle through angiotomography. Rev Col Bras Cir 2011;38:116–21.
  • Hlaing K, Das S, Sulaiman IM, Abd-Latiff A, Abd-Ghafar N, Suhaimi FH, Othman F. Accessory renal vessels at the upper and lower pole of the kidney: a cadaveric study with clinical implications. Bratisl Lek Listy 2010;111:308–10.
  • Satyapal KS, Rambiritch V, Pillai G. Additional renal veins: incidence and morphometry. Clin Anat 1995;8:51–5.
  • Mishall PL. Renal arteries. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman’s comprehensive encyclopedia of human anatomic variation. Chapter 55. Haboken, NJ: Wiley-Blackwell; 2016. p. 682–93.
  • Costa H, Moreira R, Fukunaga P, Fernandes R, Boni R, Matos A. Anatomic variations in vascular and collecting systems of kidneys from deceased donors. Transplant Proc 2011;43:61–3.
  • Stojadinovic D, Zivanovic-Macuzic I, Sazdanovic P, Jeremic D, Jakovcevski M, Minic M, Kovacevic M. Concomitant multiple anomalies of renal vessels and collecting system. Folia Morphol 2020;79:627–33.
  • Gulas E, Wysiadecki G, Cecot T, Majos A, Stefańczyk L, Topol M, Polguj M. Accessory (multiple) renal arteries - differences in frequency according to population, visualizing techniques and stage of morphological development. Vascular 2016;24:531–7.
  • Deák P, Doros A, Lovró Z, Toronyi E, Kovács JB, Végsö G, Piros L, Tóth S, Langer RM. The significance of the circumaortic left renal vein and other venous variations in laparoscopic living donor nephrectomies. Transpl Proc 2011;43:1230–2.
  • Aragão JA, Santos RM, Aragão FMSA, Aragão ICSA, Carvalho HDG, Matos ÍQ, Reis FP. Multiple renal vessels: a case report. International Journal of Anatomy and Research 2017;5:4460–62.
  • Arévalo Pérez J, Gragera Torres F, Marín Toribio A, Koren Fernández L, Hayoun C, Daimiel Naranjo I. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging 2013;4:199–211.
  • Ferhatoglu MF, Atli E, Gürkan A, Kebudi A. Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings. Folia Morphol (Warsz) 2020;79:786–92.
  • Raman SS, Pojchamarnwiputh S, Muangsomboon K, Schulam PG, Gritsch HA, Lu DS. Utility of 16-MDCT angiography for comprehensive preoperative vascular evaluation of laparoscopic renal donors. AJR Am J Roentgenol 2006;186:1630–8.
  • Turba UC, Uflacker R, Bozlar U, Hagspiel KD. Normal renal arterial anatomy assessed by multidetector CT angiography: are there differences between men and women? Clin Anat 2009;22:236–42.
  • Hassan SS, El-Shaarawy E, Johnson JC, Youakim MF, Ettarh R. Incidence of variations in human cadaveric renal vessels. Folia Morphol (Warsz) 2017;76:394–407.
  • Natsis K, Paraskevas G, Panagouli E, Tsaraklis A, Lolis E, Piagkou M, Venieratos D. A morphometric study of multiple renal arteries in Greek population and a systematic review. Rom J Morphol Embryol 2014;55:1111–22.
  • Ozkan U, Oguzkurt L, Tercan F, Kizilkilic O, Koc Z, Koca N. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol 2006;12:183–6.
  • Zagyapan R, Pelin C, Kürkçüoğlu A. A retrospective study on multiple renal arteries in Turkish population. Anatomy 2009;3:35–9.
  • Kumar S, Neyaz Z, Gupta A. The utility of 64 channel multidetector CT angiography for evaluating the renal vascular anatomy and possible variations: a pictorial essay. Korean J Radiol 2010;11:346–54.
  • Deshpande SH, Bannur BM, Patil BG. Bilateral multiple renal vessels: a case report. J Clin Diagn Res 2014;8:144–5.
  • Didier RA, Chow JS, Kwatra NS, Retik AB, Lebowitz RL. The duplicated collecting system of the urinary tract: embryology, imaging appearances and clinical considerations. Pediatr Radiol 2017;47:1526–38.
  • Madhyastha S, Suresh R, Rao R. Multiple variations of renal vessels and ureter. Indian Journal of Urology 2001;17:164–5.
  • Majos M, Stefańczyk L, Szemraj-Rogucka Z, Elgalal M, De Caro R, Macchi V, Polguj M. Does the type of renal artery anatomic variant determine the diameter of the main vessel supplying a kidney? A study based on CT data with a particular focus on the presence of multiple renal arteries. Surg Radiol Anat 2018;40:381–8.
  • Gumus H, Bükte Y, Özdemir E, Çetinçakmak MG, Tekbaş G, Ekici F, Onder H, Uyar A. Variations of renal artery in 820 patients using 64-detector CT-angiography. Ren Fail 2012;34:286–90.
  • Gebremickael A, Afework M, Wondmagegn H, Bekele M. Renal vascular variations among kidney donors presented at the national kidney transplantation center, Addis Ababa, Ethiopia. Transl Res Anat 2021;25:100145.

Renal vascular and ureteral variations in patients with kidney transplantation

Year 2023, Volume: 17 Issue: 1, 5 - 12, 30.04.2023

Atilla Satır Meriç Yıldız Yılmaz Murat Ozturk Erdoğan Şendemir Hakan Demirci

Abstract

Objectives: To investigate the renal vascular and ureteral variations in patients subjected to kidney transplantation.
Methods: This retrospective study was conducted between January 2018 and December 2021. A total of 233 donors who underwent cadaveric harvesting were included in the study. By using the operation records, the numbers of the participants’ right and left renal arteries, right and left renal veins and right and left ureters were evaluated.
Results: The mean age of participants was 54.41±17.76 years, and 58.8% were males. Multiple renal vessels were detected in 77 (33%) donors, and ureter duplication was detected in 3 (1.2%) donors. No significant difference was observed between the right and left kidneys and between sexes regarding the incidence of supernumerary renal vessels and ureters. There was a substantial relationship between the supernumerary renal artery and vein count on the right side (p=0.024 when dichotomized for artery count, p=0.004 when dichotomized for vein count).
Conclusion: Anatomical differences in vascular structures and ureters may create risks that will affect the outcome of kidney surgeries and transplants. During kidney transplantation, interventional radiological procedures or other retroperitoneal surgeries, surgeons and radiologists are advised to remember that supernumerary renal arteries and veins are likely to be concurrent, especially on the right side.

Keywords

kidney surgery supernumerary renal vessels transplantation ureter duplication

References

  • Gupta M, Kaul NV, Shukla AK. A contrast-enhanced MDCT study on the morphology of renal vessels, their variations and clinical implications. International Journal of Anatomy and Research 2022;10:8275–82.
  • Gulas E, Wysiadecki G, Szymański J, Majos A, Stefańczyk L, Topol M, Polguj M. Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries. Arch Med Sci 2018;14:442–53.
  • Rosenblum ND, Baskin LS. Renal ectopic and fusion anomalies. [Internet]. [Retrieved on February 12, 2023]. Available from: https://medilib.ir/uptodate/show/6107
  • Agarwal S, Yadav RN, Kumar M, Sankhwar S. Horseshoe kidney with unilateral single ectopic ureter. BMJ Case Rep 2018;2018:bcr2017223913.
  • Jose N, Jayaprakash V, Deiva A, Sai V, Jayakumar M. Renal angiographic evaluation of prospective renal donors: Single-center data and outcome analysis from South India – A retrospective observational study. Indian Journal of Transplantation 2021;15:24–8.
  • Abas R, Asri SFM, Nor NHM, Basir R, Subramaniam SD. A case report of superior bilateral aberrant renal arteries with accessory left renal vein. Journal of Health and Translational Medicine 2022;25:5–8.
  • Madhunarayana B, Rao S, Rajagopalan R. Retro-aortic left renal vein draining into left common iliac vein: a rare renal vein anomaly and its significance. International Journal of Anatomical Variations 2019;12:1.
  • Gupta A, Gupta R, Singal R. Congenital variations of renal veins: embryological background and clinical implications. Journal of Clinical and Diagnostic Research 2011;5:1140–3.
  • Agarwal S, Aiyappan SK, Mathuram AC, Raveendran NH, Valsala VS. Prevalence of renal vascular variations in patients subjected to contrast CT abdomen. International Journal of Contemporary Medicine Surgery and Radiology 2019;4:B114–9.
  • Dodeja A, Mane R, Mukherjee A, Dodeja A. A rare case report of bilateral duplication of ureter along with presence of accessory renal vein: embryological basis and clinical implication. International Journal of Medical Science and Current Research 2020;3:94.
  • Ikidag MA, Uysal E. Evaluation of vascular structures of living donor kidneys by multislice computed tomography angiography before transplant surgery: is arterial phase sufficient for determination of both arteries and veins? Journal of the Belgian Society of Radiology 2019;103:23.
  • Kumaresan M, Pk S, Gunapriya R, Karthikeyan G, Priyadarshini A. Morphometric study of renal vein and its variations using CT. Indian Journal of Medical Research and Pharmaceutical Sciences 2016;3:41–9.
  • Haferkamp A, Dörsam J, Möhring K, Wiesel M, Staehler G. Ureteral complications in renal transplantation with more than one donor ureter. Nephrol Dial Transplant 1999;14:1521–4.
  • Palmieri BJ, Petroianu A, Silva LC, Andrade LM, Alberti LR. Study of arterial pattern of 200 renal pedicle through angiotomography. Rev Col Bras Cir 2011;38:116–21.
  • Hlaing K, Das S, Sulaiman IM, Abd-Latiff A, Abd-Ghafar N, Suhaimi FH, Othman F. Accessory renal vessels at the upper and lower pole of the kidney: a cadaveric study with clinical implications. Bratisl Lek Listy 2010;111:308–10.
  • Satyapal KS, Rambiritch V, Pillai G. Additional renal veins: incidence and morphometry. Clin Anat 1995;8:51–5.
  • Mishall PL. Renal arteries. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman’s comprehensive encyclopedia of human anatomic variation. Chapter 55. Haboken, NJ: Wiley-Blackwell; 2016. p. 682–93.
  • Costa H, Moreira R, Fukunaga P, Fernandes R, Boni R, Matos A. Anatomic variations in vascular and collecting systems of kidneys from deceased donors. Transplant Proc 2011;43:61–3.
  • Stojadinovic D, Zivanovic-Macuzic I, Sazdanovic P, Jeremic D, Jakovcevski M, Minic M, Kovacevic M. Concomitant multiple anomalies of renal vessels and collecting system. Folia Morphol 2020;79:627–33.
  • Gulas E, Wysiadecki G, Cecot T, Majos A, Stefańczyk L, Topol M, Polguj M. Accessory (multiple) renal arteries - differences in frequency according to population, visualizing techniques and stage of morphological development. Vascular 2016;24:531–7.
  • Deák P, Doros A, Lovró Z, Toronyi E, Kovács JB, Végsö G, Piros L, Tóth S, Langer RM. The significance of the circumaortic left renal vein and other venous variations in laparoscopic living donor nephrectomies. Transpl Proc 2011;43:1230–2.
  • Aragão JA, Santos RM, Aragão FMSA, Aragão ICSA, Carvalho HDG, Matos ÍQ, Reis FP. Multiple renal vessels: a case report. International Journal of Anatomy and Research 2017;5:4460–62.
  • Arévalo Pérez J, Gragera Torres F, Marín Toribio A, Koren Fernández L, Hayoun C, Daimiel Naranjo I. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging 2013;4:199–211.
  • Ferhatoglu MF, Atli E, Gürkan A, Kebudi A. Vascular variations of the kidney, retrospective analysis of computed tomography images of ninety-one laparoscopic donor nephrectomies, and comparison of computed tomography images with perioperative findings. Folia Morphol (Warsz) 2020;79:786–92.
  • Raman SS, Pojchamarnwiputh S, Muangsomboon K, Schulam PG, Gritsch HA, Lu DS. Utility of 16-MDCT angiography for comprehensive preoperative vascular evaluation of laparoscopic renal donors. AJR Am J Roentgenol 2006;186:1630–8.
  • Turba UC, Uflacker R, Bozlar U, Hagspiel KD. Normal renal arterial anatomy assessed by multidetector CT angiography: are there differences between men and women? Clin Anat 2009;22:236–42.
  • Hassan SS, El-Shaarawy E, Johnson JC, Youakim MF, Ettarh R. Incidence of variations in human cadaveric renal vessels. Folia Morphol (Warsz) 2017;76:394–407.
  • Natsis K, Paraskevas G, Panagouli E, Tsaraklis A, Lolis E, Piagkou M, Venieratos D. A morphometric study of multiple renal arteries in Greek population and a systematic review. Rom J Morphol Embryol 2014;55:1111–22.
  • Ozkan U, Oguzkurt L, Tercan F, Kizilkilic O, Koc Z, Koca N. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol 2006;12:183–6.
  • Zagyapan R, Pelin C, Kürkçüoğlu A. A retrospective study on multiple renal arteries in Turkish population. Anatomy 2009;3:35–9.
  • Kumar S, Neyaz Z, Gupta A. The utility of 64 channel multidetector CT angiography for evaluating the renal vascular anatomy and possible variations: a pictorial essay. Korean J Radiol 2010;11:346–54.
  • Deshpande SH, Bannur BM, Patil BG. Bilateral multiple renal vessels: a case report. J Clin Diagn Res 2014;8:144–5.
  • Didier RA, Chow JS, Kwatra NS, Retik AB, Lebowitz RL. The duplicated collecting system of the urinary tract: embryology, imaging appearances and clinical considerations. Pediatr Radiol 2017;47:1526–38.
  • Madhyastha S, Suresh R, Rao R. Multiple variations of renal vessels and ureter. Indian Journal of Urology 2001;17:164–5.
  • Majos M, Stefańczyk L, Szemraj-Rogucka Z, Elgalal M, De Caro R, Macchi V, Polguj M. Does the type of renal artery anatomic variant determine the diameter of the main vessel supplying a kidney? A study based on CT data with a particular focus on the presence of multiple renal arteries. Surg Radiol Anat 2018;40:381–8.
  • Gumus H, Bükte Y, Özdemir E, Çetinçakmak MG, Tekbaş G, Ekici F, Onder H, Uyar A. Variations of renal artery in 820 patients using 64-detector CT-angiography. Ren Fail 2012;34:286–90.
  • Gebremickael A, Afework M, Wondmagegn H, Bekele M. Renal vascular variations among kidney donors presented at the national kidney transplantation center, Addis Ababa, Ethiopia. Transl Res Anat 2021;25:100145.
There are 37 citations in total.

Details

Primary Language English
Subjects Transplantation
Journal Section Original Articles
Authors

Atilla Satır 0000-0001-7628-1935

Meriç Yıldız Yılmaz 0000-0003-3086-8727

Murat Ozturk

Erdoğan Şendemir 0000-0001-9699-4342

Hakan Demirci 0000-0003-0434-4807

Early Pub Date October 11, 2023
Publication Date April 30, 2023
Published in Issue Year 2023 Volume: 17 Issue: 1

Cite

APA Satır, A., Yıldız Yılmaz, M., Ozturk, M., Şendemir, E., et al. (2023). Renal vascular and ureteral variations in patients with kidney transplantation. Anatomy, 17(1), 5-12.
AMA Satır A, Yıldız Yılmaz M, Ozturk M, Şendemir E, Demirci H. Renal vascular and ureteral variations in patients with kidney transplantation. Anatomy. April 2023;17(1):5-12.
Chicago Satır, Atilla, Meriç Yıldız Yılmaz, Murat Ozturk, Erdoğan Şendemir, and Hakan Demirci. “Renal Vascular and Ureteral Variations in Patients With Kidney Transplantation”. Anatomy 17, no. 1 (April 2023): 5-12.
EndNote Satır A, Yıldız Yılmaz M, Ozturk M, Şendemir E, Demirci H (April 1, 2023) Renal vascular and ureteral variations in patients with kidney transplantation. Anatomy 17 1 5–12.
IEEE A. Satır, M. Yıldız Yılmaz, M. Ozturk, E. Şendemir, and H. Demirci, “Renal vascular and ureteral variations in patients with kidney transplantation”, Anatomy, vol. 17, no. 1, pp. 5–12, 2023.
ISNAD Satır, Atilla et al. “Renal Vascular and Ureteral Variations in Patients With Kidney Transplantation”. Anatomy 17/1 (April 2023), 5-12.
JAMA Satır A, Yıldız Yılmaz M, Ozturk M, Şendemir E, Demirci H. Renal vascular and ureteral variations in patients with kidney transplantation. Anatomy. 2023;17:5–12.
MLA Satır, Atilla et al. “Renal Vascular and Ureteral Variations in Patients With Kidney Transplantation”. Anatomy, vol. 17, no. 1, 2023, pp. 5-12.
Vancouver Satır A, Yıldız Yılmaz M, Ozturk M, Şendemir E, Demirci H. Renal vascular and ureteral variations in patients with kidney transplantation. Anatomy. 2023;17(1):5-12.
 Download Cover Image

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).