Review of the Renal Artery Anatomy: In Chronic Kidney Disease and Healthy Individuals


Abstract views: 309 / PDF downloads: 181

Authors

DOI:

https://doi.org/10.58600/eurjther1854

Keywords:

Anatomy, Aorta, Renal Artery, Renal Insufficiency, Tomography

Abstract

Objective: The purpose of this study was to evaluate renal arteries and aorta anatomy in patients with chronic kidney disease (CKD) and compare them with a control group.

Methods: Computed tomography images of 800 individuals (551 of that were with CKD and 249 of them were completely healthy in terms of urinary system) were evaluated retrospectively. Age range of the individuals 19 - 91 years (mean 61.15 ± 12.58). The differences between the renal arteries diameters, diameters of aorta, courses of the renal arteries, their separation levels from the aorta was investigated between the control group and patients with CKD.

Results: Diameters of aorta and renal arteries are larger in CKD patients than healthy individuals and there was a negative correlation between the diameters of aorta with glomerular filtration rate. No statistically significant difference was observed between CKD patients and healthy individuals in terms of renal artery course. No statistically significant difference was detected between CKD patients and healthy individuals in terms of the branching level of the renal arteries from the aorta.

Conclusion: Our study is one of the first studies which these measurements were made in individuals with CKD, according to the available literature. This study is important in that it reveals that the diameters of the renal arteries are statistically significantly larger in patients with CKD than in healthy individuals. These data may be important for the surgeons in interventional applications

Metrics

Metrics Loading ...

References

Romagnani P, Remuzzi G, Glassock R, Levin A, Jager KJ, Tonelli M, Massy Z, Wanner C, Anders H-J (2017) Chronic kidney disease. Nat Rev Dis Primers 3:1-24. https://doi.org/10.1038/nrdp.2017.88

Ortiz A, Covic A, Fliser D, Fouque D, Goldsmith D, Kanbay M, Mallamaci F, Massy ZA, Rossignol P, Vanholder R, Wiecek A, Zoccali C, London GM (2014) Epidemiology, contributors to, and clinical trials of mortality risk in chronic kidney failure. The Lancet 383(9931):1831-43. https://doi.org/10.1016/s0140-6736(14)60384-6

Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY (2004) Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 351(13):1296-305. https://doi.org/10.1056/NEJMoa041031

Briet M, Bozec E, Laurent S, Fassot C, London GM, Jacquot C, Froissart M, Houillier P, Boutouyrie P (2006) Arterial stiffness and enlargement in mild-to-moderate chronic kidney disease. Kidney Int 69(2):350-7. https://doi.org/10.1038/sj.ki.5000047

Meeus F, Kourilsky O, Guerin AP, Gaudry C, Marchais SJ, London GM (2000) Pathophysiology of cardiovascular disease in hemodialysis patients. Kidney Int 58(Suppl76):140-147. https://doi.org/10.1046/j.1523-1755.2000.07618.x

Tonelli M, Muntner P, Lloyd A, Manns BJ, Klarenbach S, Pannu N, James MT, Hemmelgarn BR (2012) Risk of coronary events in people with chronic kidney disease compared with those with diabetes: a population-level cohort study. The Lancet 380(9844):807-814. https://doi.org/10.1016/s0140-6736(12)60572-8

London GM, Drueke TB (1997) Atherosclerosis and arteriosclerosis in chronic renal failure. Kidney Int 51(6):1678-95. https://doi.org/10.1038/ki.1997.233

Ocak G, van Stralen KJ, Rosendaal FR, Verduijn M, Ravani P, Palsson R, Leivestad T, Hoitsma AJ, Ferrer-Alamar M, Finne P, De Meester J, Wanner C, Dekker FW, Jager KJ (2012) Mortality due to pulmonary embolism, myocardial infarction, and stroke among incident dialysis patients. J Thromb Haemost 10(12):2484-93. https://doi.org/10.1111/j.1538-7836.2012.04921.x

Briet M, Boutouyrie P, Laurent S, London GM (2012) Arterial stiffness and pulse pressure in CKD and ESRD. Kidney Int 82(4):388-400. https://doi.org/10.1038/ki.2012.131

El-Galley RE, Keane TE (2000) Embryology, anatomy, and surgical applications of the kidney and ureter. Surg Clin North Am 80(1):381-401. https://doi.org/10.1016/S0039-6109(05)70411-4

Pancera P, Ribul M, Presciuttini B, Lechi AJJoim (2000) Prevalence of carotid artery kinking in 590 consecutive subjects evaluated by Echocolordoppler. Is there a correlation with arterial hypertension? J Intern Med. 248(1):7-12. https://doi.org/10.1046/j.1365-2796.2000.00611.x

Mazzaccaro D, Malacrida G, Nano G (2015) Variability of origin of splanchnic and renal vessels from the thoracoabdominal aorta. Eur J Vasc Endovasc Surg. 49(1):33-8. https://doi.org/10.1016/j.ejvs.2014.10.005

Hazirolan T, Öz M, Türkbey B, Karaosmanoǧlu A, Oǧuz B, Canyiǧit M (2011) CT angiography of the renal arteries and veins: normal anatomy and variants. Diagn Interv Radiol. 17(1):67-73. https://doi.org/10.4261/1305-3825.DIR.2902-09.1

Merklin RJ, Michels NA (1958) The variant renal and suprarenal blood supply with data on the inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of the literature. J Int Coll Surg. 29(1 Pt 1):41-76.

Han HC (2012) Twisted Blood Vessels: Symptoms, Etiology and Biomechanical Mechanisms. J Vasc Res 49(3):185-97. https://doi.org/10.1159/000335123

Zegers ES, Meursing BTJ, Zegers EB, Oude Ophuis AJM (2007) Coronary tortuosity: a long and winding road. Neth Heart J. 15(5):191-5. https://doi.org/10.1007/BF03085979

Breza J Jr, Chrastina M, Mihalova M, Breza J Sr, Zilinska Z (2022) Overview of urological complications before, during and after kidney transplantation. Bratisl Lek Listy. 123(8):560-567. https://doi.org/10.4149/BLL_2022_089

Hegedüs V (1972) Arterial anatomy of the kidney: A three-dimensional angiographic investigation. Acta Radiol Diagn (Stockh). 12(5):604-618. https://doi.org/10.1177/028418517201200509

Beregi JP, Mauroy B, Willoteaux S, Mounier-Vehier C, Rémy-Jardin M, Francke JP (1999) Anatomic variation in the origin of the main renal arteries: spiral CTA evaluation. Eur Radiol. 9(7):1330-4. https://doi.org/10.1007/s003300050843

Özkan U, Oguzkurt L, Tercan F, Kizilkilic O, Koç Z, Koca N (2006) Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagn Interv Radiol. 12(4):183-6.

Çiçekcibaşi AE, Ziylan T, Salbacak A, Şeker M, Büyükmumcu M, Tuncer I (2005) An investigation of the origin, location and variations of the renal arteries in human fetuses and their clinical relevance. Ann Anat. 187(4):421-427. https://doi.org/10.1016/j.aanat.2005.04.011

Fataftah J, Amarin JZ, Suradi HH, Hadidi MT, Shatarat AT, Al Manasra ARA, Shahin S, Badran DH (2020) Variation in the vertebral levels of the origins of the abdominal aorta branches: a retrospective imaging study. Anat Cell Biol. 53(3):279-283. https://doi.org/10.5115/acb.20.048

Downloads

Published

2023-11-20

How to Cite

Aktaş, G. D., Ünver Doğan, N., Çelik, G., Koplay, M., Fazlıoğulları, Z., Altındaş, İbrahim, & Karabulut, A. K. (2023). Review of the Renal Artery Anatomy: In Chronic Kidney Disease and Healthy Individuals. European Journal of Therapeutics, 29(4), 891–899. https://doi.org/10.58600/eurjther1854