{"id":2598,"date":"2022-03-04T15:46:39","date_gmt":"2022-03-04T15:46:39","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2598"},"modified":"2022-03-04T15:46:39","modified_gmt":"2022-03-04T15:46:39","slug":"ijar-2021-204","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2021-204","title":{"rendered":"IJAR.2021.204"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.10.1\/IJAR.2021.204.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-10-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 10; Issue 1 (March 2022)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 8275-8282<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2021.240<\/h3>\n<h3 style=\"text-align: justify;\">A Contrast-Enhanced MDCT Study on the Morphology of Renal Vessels, Their Variations and Clinical Implications<\/h3>\n<p style=\"text-align: justify;\"><strong>Manu Gupta <sup>1<\/sup>, Nisha V Kaul <sup>2<\/sup>, Ashish Kumar Shukla <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> Ph.D. Scholar, Department of Anatomy, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India. https:\/\/orcid.org\/0000-0002-5403-6805<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Professor &amp; HOD, Department of Anatomy, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Professor &amp; HOD, Department of Radiodiagnosis, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: initial; font-size: inherit;\"><strong>Corresponding Author:<\/strong> Mrs. Manu Gupta, (Ph.D. Scholar), Batch-2108, C\/O Dr. Nisha V Kaul, Professor &amp; HOD, Department of Anatomy, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India- 201009. <strong>E-Mail:<\/strong> manug0409@gmail.com \u00a0\u00a0<\/span><\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Introduction:<\/strong> The kidneys&#8211;the main organs of the excretory system, are supplied by a paired renal artery, originating from the Abdominal Aorta at the level of a disc between L1 and L2 and drained by a paired renal vein exiting from the hilum of the kidney to the Inferior vena cava.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim: <\/strong>To evaluate the morphology of renal vessels, their variations &amp; clinical implications during renal surgeries in the subjects of the North India population by contrast-enhanced MDCT.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Method<\/strong>: The present study was conceptualized &amp; carried out in the Department of Anatomy, in collaboration with the Department of Radiodiagnosis, Santosh Medical College &amp; Hospital, Ghaziabad and from Dr. O.P Gupta Imaging Centre, Meerut. This study was performed on the 108 patients who were referred for abdominal CECT examination with suspected abdominal pathologies. Contrast-enhanced MDCT scan images of the Abdomen were reviewed for normal anatomy of renal vessels and their variants.\u00a0<\/p>\n<p style=\"text-align: justify;\"><strong>Result:<\/strong> Out of 108 patients, anatomical variations of the renal vessel were found in 72 (66.66%) patients. Variations of the renal artery were found in 56 patients (51.85%). Out of these 56 patients, 47 had supplementary renal artery, 17 had early branching of the renal artery and 8 patients had both supplementary and early branching of the renal artery. Supplementary renal arteries were seen in 15 patients on the right side, 16 patients on the left side &amp; 16 patients bilaterally. Earlier branching of the renal artery was found in 9 patients on the right side, 10 patients on the left side and in 2 patients bilaterally. Variations of the renal vein were more commonly found on the right side, late renal vein confluence was seen in 28 (25.92%) patients and supplementary renal veins in 9 (8.3%) patients. On the left side, 2 (1.85%) patients had late renal vein confluence and 2 (1.85%) patients had retroaortic vein.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> Variations of the renal artery are found frequently. Morphological evaluation of renal vessels is useful for planning and performing the endovascular, laparoscopic and urological procedure.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Renal artery (RA), Renal vein (RV), Supplementary Renal artery (SRA), Early branching (EB), Supplementary renal vein (SRV), Contrast-enhanced Multidetector Computerized Tomography (MDCT).<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Standring S. Gray\u2019s Anatomy. Vol. 40. 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In: Keibel F, Mall FP, editors; pp. 752\u2013880.<br \/>[17]. Keibel F, Mall FP. Manual of human embryology. Vol. 2. Philadelphia: J.B. Lippincott. 1912; 820\u201325.<br \/>[18]. Singla RK, Sharma T, Gupta R. Retro-aortic left renal vein with left suprarenal vein draining into inferior vena cava. IJAV. 2010; (3):134-7.<br \/>[19]. Pick JW, Anson BJ. The renal vascular pedicle: An anatomical study of 430 body halves. J Urol. 1940; 44:411-34.<br \/>[20]. Koc Z, Ulusan S, Oguzkurt L. Association of left renal vein variations and pelvic varices in abdominal MDCT. Eur Radiol. 2007;17 (5):1267-74. <br \/>[21]. Karazincir S, Balci A, Gorur S, Sumbas H, Kiper AN. Incidence of the retroaortic left renal vein in patients with varicocele. J Ultrasound Med. 2007; 26 (2):601-4.<br \/>[22]. Kumar S, Neyaz Z, Gupta A. The Utility of 64 Channel Multidetector CT Angiography for Evaluating the Renal Vascular Anatomy and Possible Variations: A Pictorial Essay. 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Bolatli G, Kardeniz MU, Koplay M, Musa Acar, Zarasiz I. Investigation of Renal Artery Variations with Multidetector Computed Tomography Angiography Technique. Bsj Health Sci.2021; 4 (1): 22-25<br \/>[28]. Famurewa OC, Asaleye CM, Ibitoye BO, Ayoola OO, Aderibigbe AS, Badmus TA, Variations of renal vascular anatomy in a Nigerian population: A computerized tomography study. Niger J Clin Pract. 2018; 21(7):840-846<br \/>[29]. VedaRaju KS, BooBathi Raja G, Ananda M, Jayashri d. Evaluation of Renal Vascular Anatomy in Prospective Renal Donors Using 128 Slice CT Angiography. IJARS. 2018;7(2):20-24.<br \/>[30]. Kumaresan M, Sankaran PK, Gunapriya R, Karthikeyan G, Priyadarshini. A morphometric study of renal vein and its variations using CT. IJMRPS. 2016; 3(11)<br \/>[31]. Jose N, Jayaprakash V, Deiva A, Sai V, Jayakumar M. Renal angiographic evaluation of prospective renal donors: Single\u2011center data and outcome analysis from South India &#8211; A retrospective observational study. Indian J Transplant. 2021; 15: 24-8.<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Manu Gupta, Nisha V Kaul, Ashish Kumar Shukla. A Contrast-Enhanced MDCT Study on the Morphology of Renal Vessels, Their Variations and Clinical Implications. Int J Anat Res 2022;10(1):8275-8282. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2021.204\u00a0 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 10; Issue 1 (March 2022) Page No.: 8275-8282 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2021.240 A Contrast-Enhanced MDCT Study on the Morphology of Renal Vessels, Their Variations and Clinical Implications Manu Gupta 1, Nisha V Kaul 2, Ashish Kumar Shukla 3. *1 Ph.D. Scholar, Department of Anatomy, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2021-204\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2598"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2598"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2598\/revisions"}],"predecessor-version":[{"id":2623,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2598\/revisions\/2623"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}