Analysis of the Arterial Blood Flow Patterns of Normal and Allografted Kidneys by the Directional Ultrasonic Doppler Technique

Abstract

No AccessJournal of Urology1 Nov 1979Analysis of the Arterial Blood Flow Patterns of Normal and Allografted Kidneys by the Directional Ultrasonic Doppler Technique Masaaki Arima, Michio Ishibashi, Michiyuki Usami, Shiro Sagawa, Shutaro Mizutani, Takao Sonoda, Seiji Ichikawa, Hideari Ihara, and Syunsuke Nagano Masaaki ArimaMasaaki Arima More articles by this author , Michio IshibashiMichio Ishibashi More articles by this author , Michiyuki UsamiMichiyuki Usami More articles by this author , Shiro SagawaShiro Sagawa More articles by this author , Shutaro MizutaniShutaro Mizutani More articles by this author , Takao SonodaTakao Sonoda More articles by this author , Seiji IchikawaSeiji Ichikawa More articles by this author , Hideari IharaHideari Ihara More articles by this author , and Syunsuke NaganoSyunsuke Nagano More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)56516-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The arterial blood flow of the allotransplanted kidney was examined 52 times in 40 recipients and that of the normal kidney 6 times in 6 donors by means of the directional ultrasonic Doppler technique. The blood flow patterns showed a rapid forward phase in systole and a slow forward phase in diastole but nothing indicative of a reverse flow was found. A significant correlation was observed between the acceleration time of flow component and graft function, while there were no correlations among diastole/systole ratio, appearance time and graft function. The arterial blood flow patterns of the grafts were classified into 3 groups based on acceleration time: I—excellent, II—intermediate and III—poor graft functions. Additionally, in pursuit of possible relationships between the ultrasonic Doppler flow patterns of the grafts and their morphological features, histopathology and angiography were done for 20 and 15 recipients, respectively. As a result the histologic vascular changes with interstitial damage were proved to be responsible for the angiographic findings, such as sparse arborization, beading and blocking of the peripheral vasculature. Consequently, it was demonstrated that changes in Doppler flow pattern were secondary to the morphological changes of the allografts induced mainly by rejection. © 1979 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKAWAUCHI A, YAMAO Y, UKIMURA O, KAMOI K, SOH J and MIKI T (2018) EVALUATION OF REFLUX KIDNEY USING RENAL RESISTIVE INDEXJournal of Urology, VOL. 165, NO. 6 Part 1, (2010-2012), Online publication date: 1-Jun-2001.Fung L, Steckler R, Khoury A, Mclorie G, Chait P and Churchill B (2018) Intrarenal Resistive Index Correlates with Renal Pelvis PressureJournal of Urology, VOL. 152, NO. 2 Part 2, (607-611), Online publication date: 1-Aug-1994.Ordorica R, Lindfors K and Palmer J (2018) Diuretic Doppler Sonography Following Successful Repair of Renal Obstruction in ChildrenJournal of Urology, VOL. 150, NO. 2 Part 2, (774-777), Online publication date: 1-Aug-1993.Gilbert R, Garra B and Gibbons M (2018) Renal Duplex Doppler Ultrasound: An Adjunct in the Evaluation of Hydronephrosis in the ChildJournal of Urology, VOL. 150, NO. 4, (1192-1194), Online publication date: 1-Oct-1993.Bittard H, Benoit G, Moukarzel M, Charpentier B, Ecoffey C, Fries D and Jardin A (2018) Decrease in Renal Vascular Resistance in University of Wisconsin Solution Preserved Kidney TransplantsJournal of Urology, VOL. 146, NO. 1, (1-4), Online publication date: 1-Jul-1991.Palmer J, Lindfors K, Ordorica R and Marder D (2018) Diuretic Doppler Sonography in Postnatal HydronephrosisJournal of Urology, VOL. 146, NO. 2 Part 2, (605-608), Online publication date: 1-Aug-1991.Thüroff J, Frohneberg D, Riedmiller R, Alken P, Hutschenreiter G, Thüroff S and Hohenfellner R (2018) Localization of Segmental Arteries in Renal Surgery by Doppler SonographyJournal of Urology, VOL. 127, NO. 5, (863-866), Online publication date: 1-May-1982. Volume 122Issue 5November 1979Page: 587-591 Advertisement Copyright & Permissions© 1979 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Masaaki Arima More articles by this author Michio Ishibashi More articles by this author Michiyuki Usami More articles by this author Shiro Sagawa More articles by this author Shutaro Mizutani More articles by this author Takao Sonoda More articles by this author Seiji Ichikawa More articles by this author Hideari Ihara More articles by this author Syunsuke Nagano More articles by this author Expand All Advertisement PDF downloadLoading ...