[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]
Fırat Tıp Dergisi
2023, Cilt 28, Sayı 1, Sayfa(lar) 012-016
[ Turkish ] [ Tam Metin ] [ PDF ]
The Predictive Role of Resistive Index in the Early Post-Renal Transplantation Period
Esin ÖLÇÜCÜOĞLU1, Sedat TAŞTEMUR2, Mustafa KARAASLAN2, Samet ŞENEL2, Fatma Ayça EDİS ÖZDEMİR1, Rıza Sarper ÖKTEN1
1Ankara Şehir Hastanesi, Radyoloji Kliniği, Ankara, Türkiye
2Ankara Şehir Hastanesi, Üroloji Kliniği, Ankara, Türkiye

Objective: Intrarenal resistive index (RI) in doppler ultrasonography (DUS) after renal transplantation (RT) is a sensitive indicator of kidney graft function. In our study, we aimed to investigate the predictivity of RI in the first three postoperative days in determining complications.

Material and Method: Seventy two adult recipients (54 males, 18 females) who underwent live-to-live renal transplantation and had no intraoperative complications were included in the study. The relationship between the mean RI values obtained in the first three days after transplantation, and recipients\' gender, age, body mass index (BMI), comorbidities, postoperative complications in the first three months, serum creatinine values at the end of the third month, duration of dialysis, ischemia time of the transplanted kidney, human leukocyte antigen (HLA) mismatch values, survival and graft loss status, the age of the donors were evaluated.

Results: The mean age of the recipients was 33 (15-68) years, with a mean BMI of 21.95 (16.7-42) kg/m2. Postoperative complications were developed in 20 (27.7%) patients. RI was higher in patients with cardiovascular complications compared to those without complications and this difference was statistically significant (p =0.022). A statistically positive correlation was found between RI and recipient age (r =0.278). In multivariate logistic regression analysis, RI>0.65 was determined as an independent risk factor for the development of complications (OR= 7.111, 95% CI=1.965-25.727, p =0.003).

Conclusion: An RI>0.65 in the first three days after renal transplantation is an independent risk factor for complications in the first 12 weeks.


[ Turkish ] [ Tam Metin ] [ PDF ]
[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]