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Early postoperative spectral Doppler parameters of renal transplants: the effect of donor and recipient factors.

Abstract：

BACKGROUND:The objective of this study was to explore the donor and recipient factors related to the spectral Doppler parameters of the transplant kidney in the early posttransplantation period. METHODS:This retrospective study included 76 patients who underwent renal transplantation assessed using Doppler ultrasonography (US) on the first postoperative day. We compared spectral Doppler parameters (peak systolic velocity [PSV] and resistive index [RI]) of the segmental artery of the transplant kidney according to the type of renal transplant, level of serum creatinine (SCr) of donor prior to organ donation, and donor/recipient age. RESULTS:RI was significantly higher in deceased-donor kidney transplantation (DDKT) as compared with living-donor kidney transplantation (LDKT; 0.73 ± 0.10 vs 0.66 ± 0.11; P = .007). In the DDKT recipients, multivariate analysis showed donor SCr was the only factor affecting PSV (P = .023), whereas recipient age was the only factor affecting RI (P = .035). In the LDKT recipients, multivariate analysis showed recipient age was the only factor affecting both PSV (P = .009) and RI (P = .018). CONCLUSION:Spectral Doppler parameters in the early posttransplantation period are related to the type of renal transplant, donor renal function, and recipient age. These factors should be taken into consideration when interpreting the results of spectral Doppler US.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Wang HK,Chiou SY,Lai YC,Cheng HY,Lin NC,Loong CC,Chiou HJ,Chou YH,Chang CY

doi

10.1016/j.transproceed.2011.12.069

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

226-9

issue

1

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(11)01731-3

journal_volume

44

pub_type

杂志文章

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