case_images: PMC11309751_01
case_images: Kidney examination of a living kidney donor. The result of the renal scintigraphy (a). Pretransplant CT angiography showing renalis dextra stenosis (a) (white arrow, b). c The renal allograft biopsy shows minor and nonspecific changes.
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case_images: PMC11309751_01_cnd-2024-0014-0001-539772_F01.jpg
case_images: F1
case_images: As a part of the current pre-transplant routine, technetium-99 m diethylene triamine penta-acetic acid renal dynamic scintigraphy confirmed excellent renal function with an isotopic glomerular filtration rate (GFR) of 93 mL/min, with the left kidney's GFR at 41.2 mL/min and the right kidney's GFR at 51.9 mL/min (shown in Fig. 1a), the chest radiographs were normal. The abdominal vascular anatomy was examined using computerized tomography (CT) angiography, which revealed a proximal 60-70% stenosis in the right renal artery (Fig. 1b) and a normal CT urogram. Pathological changes in the glomeruli, interstitium, or blood vessels were not observed (Fig. 1c).
case_images: The dynamic of the creatinine and eGFR of the donor and the recipient. The function of both the donor's and recipient's kidneys stayed constant after 1 and 2 years.
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case_images: F2
case_images: The creatinine level at discharge was 137 mumol/L, cystatin C 1.48 mg/L, and the eGFR of 44 mL/min/1.73 m2 by CKD-EPI Creatinine-Cystatin C Equation (Fig. 2). One year and 2 years later, the function of the left kidney remained stable, with creatinine levels of 118 and 129 mumol/L, respectively, and eGFR of 51 mL/min/1.73 m2 and 46 mL/min/1.73 m2 (Fig. 2), proteinuria was not observed. One and 2 years after the kidney transplant, the recipient's kidney function was with creatinine levels of 149 and 169 mumol/L, respectively, and eGFR of 48 and 41 mL/min/1.73 m2 (Fig. 2), proteinuria was not detected.