CT findings after left renal vein division during abdominal aortic surgery
- Abstract
- BACKGROUND: The rationale behind left renal vein division (LRVD) is the assumption that adequate collateral draining channels will develop. PURPOSE: To describe computed tomography (CT) findings after LRVD during aortic surgery. MATERIAL AND METHODS: Among 61 consecutive patients who underwent LRVD during aneurysm repair or revascularization for aortic occlusive disease between January 2003 and December 2017, 51 patients (40 men, mean age 71.4 ± 8.4 years) were enrolled. Contrast-enhanced CT images were analyzed to evaluate collateral drainage, patency, left renal vein diameter, and left renal parenchymal thickness. A total of 115 radiologic reports were reviewed to check whether these findings were accurately mentioned. RESULTS: The median time period of the first postoperative follow-up CT was 36 days (range 7-1351 days). The gonadal vein (n = 47) was the most common collateral draining channel, followed by the retroperitoneal veins (n = 42) and adrenal vein (n = 33). Thrombosis occurred in five patients between postoperative days 7 and 17 in the remnant renal vein (n = 3), remnant renal vein plus gonadal and adrenal veins (n = 1), and gonadal vein (n = 1). There was a significant decrease in renal vein diameter (-0.48 ± 2.12 mm, P = 0.006). There was no significant difference in parenchymal thickness (-0.25 ± 1.27 mm, P = 0.193). Neither LRVD nor any associated findings were correctly stated on radiologic reports. CONCLUSION: Postoperative contrast-enhanced CT can delineate collateral draining channels and complications following LRVD. However, these findings tend to be either missed or misinterpreted.
- All Author(s)
- H. N. Lee
; D. Hyun
; K. B. Park
; Y. S. Do
; D. I. Kim
; H. J. Kim
; N. H. Heo
- Issued Date
- 2021
- Type
- Article
- Keyword
- Left renal vein division; vascular surgical procedures; abdominal aortic aneurysm,; venous thrombosis; computed tomography
- Publisher
- Association with the Nordic Society of Medical Radiology
- ISSN
- 0284-1851
- Citation Title
- Acta Radiologica
- Citation Volume
- 62
- Citation Number
- 12
- Citation Start Page
- 1679
- Citation End Page
- 1686
- Language(ISO)
- eng
- DOI
- 10.1177/0284185120971845
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1162
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