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Renal Anatomy

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1. Anatomy and management of upper moiety vascular variation in children with duplex kidney. (Abstract)

Anatomy and management of upper moiety vascular variation in children with duplex kidney. To describe the upper pole vascular anatomy of duplex kidney and provide our experience with laparoscopic upper pole partial nephrectomy (LUPPN).A retrospective study was performed among patients with duplex kidney who underwent computed tomography angiography at one single institution, some of whom were subsequently treated with LUPPN. According to imaging results and intraoperative findings, the arterial (...) supply to the upper moiety of a duplex system was classified based on number and branching pattern.A total of 84 children were included in the study. Twenty patients (23.8%) were managed conservatively and LUPPN in lateral position was performed in the others. All laparoscopic procedures were successfully completed as planned without conversion. No major intraoperative complications occurred. Of these patients, 68 cases (73.1%) were supplied with one branch of the renal artery. The vascular anatomy

2019 Journal of Pediatric Surgery

2. The Cystoscope Sheath as a Platform for Performing Retrograde Intrarenal Surgery in a Transplanted Kidney with Complex Renal Anatomy Full Text available with Trip Pro

The Cystoscope Sheath as a Platform for Performing Retrograde Intrarenal Surgery in a Transplanted Kidney with Complex Renal Anatomy Endourology is a widely used means by which to manage urolithiasis. Patient anatomy can oftentimes limit what can be accomplished with current technology.This is a case of a patient with renal and ureteral stones within a transplant kidney. Her anatomy would not allow for a standard retrograde ureteroscopic approach. We describe a method by which to overcome (...) this difficult scenario by using a rigid cystoscope as a platform by which a ureteroscope was passed to allow for stone removal.For this difficult case, we effectively used our instruments to achieve our goal of retrograde ureteroscopy in a transplant kidney with an unfavorably angulated ureter.

2016 Journal of endourology case reports

3. Kidney Biopsy information and education for patients and caregivers

Kidney Biopsy information and education for patients and caregivers ____________________________________________________________________________________________________________ Renal Biopsy – Consumer Education July 2018 Page 1 of 19 1. BIOPSY INFORMATION AND EDUCATION FOR PATIENTS AND CAREGIVERS Date written: March 2018 Authors: Paul Champion de Crespigny, Emily See, Pamela Lopez-Vargas, Talia Gutman, Karine Manera, Solomon Menahem, John Saunders, David Voss, Jeffrey Wong and Rob MacGinley (...) ’ and caregivers’ needs and concerns. BACKGROUND Percutaneous renal biopsies are the gold standard for the investigation of causes of renal parenchymal disease, whether it be native or transplant kidney biopsies. The procedure is usually undertaken as day stay surgery requiring in most cases, up to 6 hours post-biopsy observations. Patients attend pre- admission, usually as part of a medical consultation, where blood tests are arranged, information about the procedure including the risks and benefits are given

2020 KHA-CARI Guidelines

4. Kidney Pre-biopsy medication: Antiplatelet and anticoagulant agents

Kidney Pre-biopsy medication: Antiplatelet and anticoagulant agents ____________________________________________________________________________________________________________ Renal Biopsy - Desmopressin Acetate July 2018 Page 1 of 15 2. PRE – BIOPSY MEDICATION – ANTIPLATELET AND ANTICOAGULANT AGENTS Date written: March 2018 Authors: Emily See, Paul Champion de Crespigny, Pamela Lopez-Vargas, Talia Gutman, Karine Manera, Solomon Menahem, John Saunders, David Voss, Jeffrey Wong and Rob (...) with all percutaneous native and allograft renal biopsies. 2. Outcomes and complications should be reviewed at regular audits and performance should be benchmarked to ensure safe practice. ____________________________________________________________________________________________________________ Renal Biopsy Guideline July 2018 Page 2 of 15 BACKGROUND Percutaneous renal biopsy is an important means of diagnosing kidney disease. Although it is considered to be a safe procedure, especially since

2020 KHA-CARI Guidelines

5. Influence of the Anatomy of the Collecting System Upon Percutaneous Nephrolithotomy for Removal of Renal Staghorn Stones Full Text available with Trip Pro

Influence of the Anatomy of the Collecting System Upon Percutaneous Nephrolithotomy for Removal of Renal Staghorn Stones 29998903 2018 12 11 2018 12 11 2542-5641 131 14 2018 Jul 20 Chinese medical journal Chin. Med. J. Influence of the Anatomy of the Collecting System Upon Percutaneous Nephrolithotomy for Removal of Renal Staghorn Stones. 1759-1760 10.4103/0366-6999.235879 Xiao Bo B Department of Urology, Beijing Tsinghua Changgung Hospital, Clinical Institute of Tsinghua University, Beijing (...) Tsinghua Changgung Hospital, Clinical Institute of Tsinghua University, Beijing 102218, China. eng Letter China Chin Med J (Engl) 7513795 0366-6999 IM Humans Kidney Calculi therapy Nephrolithotomy, Percutaneous Nephrostomy, Percutaneous There are no conflicts of interest 2018 7 13 6 0 2018 7 13 6 0 2018 12 12 6 0 ppublish 29998903 ChinMedJ_2018_131_14_1759_235879 10.4103/0366-6999.235879 PMC6048934 Urology. 2011 Oct;78(4):733-7 21676442 Chin Med J (Engl). 2014;127(24):4184-9 25533819 Chin Med J (Engl

2018 Chinese medical journal

6. Transplant renal vein thrombosis in a recipient with aberrant venous anatomy Full Text available with Trip Pro

Transplant renal vein thrombosis in a recipient with aberrant venous anatomy Renal vein thrombosis in a transplanted kidney is an uncommon but critical complication that can result in graft loss if management is delayed. A 31-year-old male with known atresia of the inferior vena cava who received a deceased donor renal transplant 7 years previously presented to hospital with severe graft site pain and a week of nausea, vomiting, and chills. Serum creatinine was markedly elevated from baseline (...) . Sonographic examination revealed external iliac vein thrombosis with extension of the thrombus into the transplant renal vein. Urgent angiographic administration of tissue plasminogen activator and suction thrombectomy was performed, then followed by heparin and clopidogrel post procedure. Within 24 h, his serum creatinine improved, and within 2 weeks returned to his baseline. He was started on lifelong warfarin anti-coagulation to reduce the risk of rethrombosis secondary to his uncorrectable aberrant

2018 CEN Case Reports

7. Anatomy and neural remodeling of the renal sympathetic nerve in a canine model and patients with hypertension. (Abstract)

Anatomy and neural remodeling of the renal sympathetic nerve in a canine model and patients with hypertension. The role of renal sympathetic nerve (RSN) in hypertension should be better understood. We aimed to three-dimensionally reconstruct the renal nerves, and explore its anatomical and histochemical characteristics in hypertensive canine model and patients.Renal arteries with surrounding tissue were collected from canines and cadavers with or without hypertension. Serial renal artery (...) hematoxylin-eosin sections were used for three-dimensional reconstruction, and morphological parameters were collected and analyzed.In hypertensive canines, the mean renal nerve number was 26.71 ± 5.68 versus 19.84 ± 5.68 in controls (P = 0.02), and the middle renal nerve volume was 5.31 ± 2.13 versus 2.60 ± 1.00 μl in controls (P = 0.01). Renal tissue norepinephrine concentrations, tyrosine hydroxylase and substance P immunoreactivity in RSN, and growth-associated protein 43 immunoreactivity in renal

2018 Journal of Hypertension

8. Quantitative angiographic anatomy of the renal arteries and adjacent aorta in the swine for preclinical studies of intravascular catheterization devices Full Text available with Trip Pro

Quantitative angiographic anatomy of the renal arteries and adjacent aorta in the swine for preclinical studies of intravascular catheterization devices Swine are the most common animal model in preclinical studies of cardiovascular devices. Because of the recent trend for development of new devices for percutaneous catheterization, especially for the renal arteries (RAs), we examined the quantitative anatomical dimensions of the RAs and adjacent aorta in swine. Angiographic images were

2018 Experimental Animals

9. Renal Anatomy

Renal Anatomy Renal Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Renal Anatomy Renal Anatomy Aka: Renal Anatomy , Kidney (...) Anatomy , Kidney , Renal System II. Anatomy: General Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) III. Anatomy: Micro Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from

2018 FP Notebook

10. Vascular Anatomy of the Renal System

Trip Database) Ontology: Vascular structure of kidney (C0580863) Concepts Body Part, Organ, or Organ Component ( T023 ) SnomedCT 303402001 LNC LP30423-5, LP33490-1, MTHU014471, MTHU012147 English Renal vessel , Vascular structure of kidney , Renal vessels , Vascular structure of kidney (body structure) Spanish estructura vascular del riñón (estructura corporal) , estructura vascular del riñón Derived from the NIH UMLS ( ) Related Topics in Anatomy About FPnotebook.com is a rapid access, point (...) Vascular Anatomy of the Renal System Vascular Anatomy of the Renal System Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vascular

2018 FP Notebook

11. Distinguishing age-related from disease-related glomerulosclerosis on kidney biopsy: the Aging Kidney Anatomy study. Full Text available with Trip Pro

Distinguishing age-related from disease-related glomerulosclerosis on kidney biopsy: the Aging Kidney Anatomy study. Global glomerulosclerosis is characteristic of chronic kidney disease and also occurs with normal aging. Our goal was to determine the upper limit of normal for number of globally sclerotic glomeruli.Core-needle biopsies of the renal cortex were obtained at the time of living kidney transplantation at three centers between 1998 and 2011. The number of globally sclerotic glomeruli (...) in ostensibly healthy individuals accounting for age and the biopsy characteristics. Numbers of globally sclerotic glomeruli in a kidney biopsy that exceed these thresholds suggest chronic pathological injury in excess of that expected with normal aging.© The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

2015 Transplantation

12. Renal Collecting System Anatomy in Living Kidney Donors by Computed Tomographic Urography: Protocol Accuracy Compared to Intravenous Pyelographic and Surgical Findings Full Text available with Trip Pro

Renal Collecting System Anatomy in Living Kidney Donors by Computed Tomographic Urography: Protocol Accuracy Compared to Intravenous Pyelographic and Surgical Findings To evaluate the accuracy of triple-bolus computed tomography urography (CTU) as a surrogate of intravenous pyelography (IVP) for determining the anatomy of the urinary collecting system in living kidney donors.In an analytic descriptive cross-sectional study, 36 healthy kidney donors were recruited during 12 months. Preoperative (...) IVP and CTU were utilized to evaluate kidneys' anatomy; major and minor calyces and variation were used as anatomical indices to compare the accuracy of CTU and IVP; the images were then compared to surgical findings.Thirty-six kidney donors (92% male; mean age: 28 ± 6 years) were enrolled in this study. The kappa coefficient value was significant and almost perfect for the CTU and IVP findings in detecting the pattern of calyces (kappa coefficient 0.92, asymptotic 95% confidence interval 0.86

2016 Journal of clinical imaging science

13. Impact of renal anatomy on shock wave lithotripsy outcomes for lower pole kidney stones: results of a prospective multifactorial analysis controlled by computerized tomography. (Abstract)

Impact of renal anatomy on shock wave lithotripsy outcomes for lower pole kidney stones: results of a prospective multifactorial analysis controlled by computerized tomography. We evaluated which variables impact fragmentation and clearance of lower pole calculi after shock wave lithotripsy.We prospectively evaluated patients undergoing shock wave lithotripsy for a solitary 5 to 20 mm lower pole kidney stone between June 2012 and August 2014. Patient body mass index and abdominal waist (...) mm density stones (greater than 900 HU) in the lower pole of the kidney with an infundibular length of greater than 25 mm should be discouraged from undergoing shock wave lithotripsy.Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

2015 Journal of Urology

14. Renal Mass and Localized Renal Cancer

Renal Mass and Localized Renal Cancer Renal Cancer: Renal Mass & Localized Renal Cancer Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning (...) renal mass when intervention is indicated. In this setting, PN minimizes the risk of CKD or CKD progression and is associated with favorable oncologic outcomes, including excellent local control. (Moderate Recommendation; Evidence Level: Grade B) Physicians should prioritize nephron-sparing approaches for patients with solid or Bosniak 3/4 complex cystic renal masses and an anatomic or functionally solitary kidney, bilateral tumors, known familial RCC, preexisting CKD, or proteinuria. (Moderate

2017 American Urological Association

15. Genetics of Kidney Cancer (Renal Cell Cancer) (PDQ®): Health Professional Version

Genetics of Kidney Cancer (Renal Cell Cancer) (PDQ®): Health Professional Version Genetics of Kidney Cancer (Renal Cell Cancer) (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information (...) Summaries [Internet]. Bethesda (MD): ; 2002-. Search term Genetics of Kidney Cancer (Renal Cell Cancer) (PDQ®) Health Professional Version PDQ Cancer Genetics Editorial Board . Published online: January 21, 2020. Created: November 1, 2013 . This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the genetics of kidney cancer. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does

2018 PDQ - NCI's Comprehensive Cancer Database

16. Renal artery anatomy affects the blood pressure response to renal denervation in patients with resistant hypertension. (Abstract)

in resting baseline MSNA was only observed in group 1 (P<0.05). There was no deterioration in kidney function in any group.While RDN can be performed safely irrespective of the underlying renal anatomy, the presence of single renal arteries with or without structural abnormalities is associated with a more pronounced BP and MSNA lowering effect than the presence of dual renal arteries in patients with RH. However, when patients with dual renal arteries received renal nerve ablation in all arteries (...) Renal artery anatomy affects the blood pressure response to renal denervation in patients with resistant hypertension. Renal denervation (RDN) has been shown to reduce blood pressure (BP), muscle sympathetic nerve activity (MSNA) and target organ damage in patients with resistant hypertension (RH) and bilateral single renal arteries. The safety and efficacy of RDN in patients with multiple renal arteries remains unclear.We measured office and 24-hour BP at baseline, 3 and 6 months following RDN

2015 International journal of cardiology

17. Bilateral Malrotation and a Congenital Pelvic Kidney with Varied Vasculature and Altered Hilar Anatomy Full Text available with Trip Pro

Bilateral Malrotation and a Congenital Pelvic Kidney with Varied Vasculature and Altered Hilar Anatomy Variations of structure and position of the kidney along with variations of renal vessels are most frequently reported. Rotational variations form a rare entity that are not cited in most embryology textbooks. During an educational cadaveric dissection of a 42-year-old male, a complex picture of bilateral anatomical variants was encountered. Malrotation of both kidneys and a left lobulated (...) ectopic kidney along with open hilum was observed. The left kidney showed a pelvic position in front of sacral promontory with three renal arteries retaining its embryological aortoiliac branches and two renal veins draining into right common iliac vein. These variations have an embryological base. Pelvic kidney with rotational variation though comparatively rare assumes great importance in view of present-day surgical procedures like laparoscopic radical nephrectomy, percutaneous nephrectomy

2015 Case reports in medicine

18. Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education. (Abstract)

Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education. To assess the impact of 3D printed models of renal tumor on patient's understanding of their conditions. Patient understanding of their medical condition and treatment satisfaction has gained increasing attention in medicine. Novel technologies such as additive manufacturing [also termed three-dimensional (3D) printing] may play a role in patient education.A prospective pilot study was conducted (...) , and seven patients with a primary diagnosis of kidney tumor who were being considered for partial nephrectomy were included after informed consent. All patients underwent four-phase multi-detector computerized tomography (MDCT) scanning from which renal volume data were extracted to create life-size patient-specific 3D printed models. Patient knowledge and understanding were evaluated before and after 3D model presentation. Patients' satisfaction with their specific 3D printed model was also assessed

2015 World journal of urology

19. Preoperative evaluation of renal artery anatomy using computed tomography angiography to guide the superselective clamping of renal arterial branches during a laparoscopic partial nephrectomy Full Text available with Trip Pro

Preoperative evaluation of renal artery anatomy using computed tomography angiography to guide the superselective clamping of renal arterial branches during a laparoscopic partial nephrectomy The aim of the present study was to evaluate the clinical value of preoperative computed tomography angiography (CTA) imaging for guiding the superselective clamping of renal arterial branches during a laparoscopic partial nephrectomy (LPN). A total of 42 patients with renal masses of <4 cm, who had (...) undergone a LNP, were retrospectively enrolled in the study between May 2008 and December 2013. CTA was performed preoperatively and the renal arterial anatomy was evaluated independently by two radiologists. Surgical observations, including the number, location and branching patterns of the renal arteries, were documented by the surgeon. Subsequently, the description of the renal arterial anatomy obtained using CTA was compared with the actual renal vascular structure observed during surgery. In total

2015 Experimental and therapeutic medicine

20. Novel in vivo techniques to visualize kidney anatomy and function. Full Text available with Trip Pro

Novel in vivo techniques to visualize kidney anatomy and function. Intravital imaging using multiphoton microscopy (MPM) has become an increasingly popular and widely used experimental technique in kidney research over the past few years. MPM allows deep optical sectioning of the intact, living kidney tissue with submicron resolution, which is unparalleled among intravital imaging approaches. MPM has solved a long-standing critical technical barrier in renal research to study several complex (...) and inaccessible cell types and anatomical structures in vivo in their native environment. Comprehensive and quantitative kidney structure and function MPM studies helped our better understanding of the cellular and molecular mechanisms of the healthy and diseased kidney. This review summarizes recent in vivo MPM studies with a focus on the glomerulus and the filtration barrier, although select, glomerulus-related renal vascular and tubular functions are also mentioned. The latest applications of serial MPM

2015 Kidney International

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