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CC BY-NC-ND 4.0 · Indographics 2022; 01(02): 222-237
DOI: 10.1055/s-0042-1760287
Review Article

Renal Transplant Complications—A Pictorial Review

Navya Christopher 
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
,
Gopinath Periaswamy 
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
,
Venkatesh Kasi Arunachalam 
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
,
Santhosh Poyyamoli
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
,
Pankaj Mehta
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
,
Mathew Cherian 
1   Department of Radiology, Kovai Medical Center and Hospital, Avanashi Road, Coimbatore, India
› Author Affiliations Funding None.
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Abstract

Renal transplantation is the most effective treatment for end-stage renal disease, with advanced immunosuppressive therapy and better surgical techniques resulting in better survival of the graft. Despite the advances, complications do occur in the postoperative period and timely diagnosis of the complications is vital for prompt management and salvage of the transplant. This pictorial essay aims to classify the complications of renal transplantation, describe the various imaging modalities used to detect complications, and provide a brief overview of the role of interventional radiology in their management. The complications can be broadly divided into perinephric fluid collections, vascular, collecting system, and parenchymal complications. Imaging including ultrasonography, computed tomography, magnetic resonance imaging, and newer methods like elastography, magnetic resonance imaging arterial spin labeling, diffusion-weighted imaging, diffusion kurtosis imaging, blood oxygenation-level dependent, and magnetic resonance elastography can be used in the diagnosis of these complications. Interventional radiology has advanced a lot in managing them; hence, interventional techniques can be the first choice of treatment in institutions where robust interventional radiology setup is available.

Keywords

renal transplantation - urinoma - lymphocele - hematoma - pseudoaneurysm - interventional radiology


Publication History

Article published online:
19 September 2023

© 2022. Indographics. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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