Thomsen H S, Rygaard H, Nielsen S L, Larsen S, Løkkegaard H
Department of Diagnostic Radiology, University of Copenhagen, Herlev, Denmark.
Acta Radiol. 1987 May-Jun;28(3):313-7.
During a two-year period angiography was performed in 10 out of 40 initially perfused kidney allografts within the first 3 postoperative weeks. Immunosuppression was in all cases performed with cyclosporin A. The indication for angiography was mainly deterioration in the graft function as judged from the renograms or inadequate demonstration of the graft during intravenous radionuclide angiography. At angiography, neither arterial nor venous occlusion was found, and it was normal in 5 patients. It is concluded that during cyclosporin A treatment angiography cannot be recommended on the above mentioned indications in the early postoperative period. A graft biopsy seems sufficient.
在术后最初3周内,对40例最初灌注良好的肾移植受者中的10例进行了为期两年的血管造影检查。所有病例均采用环孢素A进行免疫抑制。血管造影的指征主要是根据肾图判断移植肾功能恶化,或在静脉放射性核素血管造影期间移植肾显示不佳。血管造影时,未发现动脉或静脉闭塞,5例患者的血管造影结果正常。得出结论,在环孢素A治疗期间,术后早期基于上述指征不建议进行血管造影。移植肾活检似乎就足够了。