A Right Accessory Renal Artery Arising from a Left Additional Common Renal Artery Stem

Glodny, Bernhard; Tröbinger, M.; Hofmann, Karin; Rehder, Peter; Trieb, Thomas; Petersen, Johannes

doi:10.1007/s00270-009-9508-8

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…A review of studies reveals a great difference in the description of MRA incidence depending on side of occurrence of MRA. Some studies report that MRA are most frequently left-sided [ 12 , 29 , 32 , 34 , 36 , 67 , 72 , 86 – 93 ], while others find that the right side predominates [ 13 , 37 , 49 , 61 , 64 , 67 , 71 , 94 – 96 ] ( Tables II , IV ). More frequent occurrence on the left side of the body and in males is also characteristic for an ectopic kidney.…”

Section: Morphological and Demographic Aspectsmentioning

confidence: 99%

Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries

Gulas

Wysiadecki

Szymański

et al. 2018

aoms

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Renal vascularization variants vastly differ between individuals due to the very complex embryogenesis of the kidneys. Moreover, each variant may have implications for clinical and surgical interventions. The number of operating procedures continues to grow, and includes renal transplants, aneurysmorrhaphy and other vascular reconstructions. In any surgical technique, unawareness of the presence of multiple renal arteries may result in a fatal outcome, especially if laparoscopic methods are used. The aim of this review is to comprehensively identify the variation within multiple renal arteries and to highlight the connections between the presence of accessory renal arteries and the coexistence of other variants of vascularization. Another aim is to determine the potential clinical implications of the presence of accessory renal arteries. This study is of particular importance for surgeons, intervention radiologists, nephrologists and vascular surgeons.

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Section: Morphological and Demographic Aspectsmentioning

confidence: 99%

Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries

Gulas

Wysiadecki

Szymański

et al. 2018

aoms

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“…Possible influencing factors that were compiled were age, gender, number of additional or accessory renal arteries from the aorta or its branches on each side and their relation to the renal pelvis or ureter, renal veins, rotation status of the renal pelvis in the axial scans in relation to a sagittal medial plane, rotation status of the kidney in relation to a coronal plane, diameter of the vena cava, length of the kidneys, width of the parenchyma, position related to the spine, infarctions, parapelvic cysts and concrements. Additional and accessory renal arteries were counted based on Satyapal's definition [10,11]. The definition of hydronephrosis was a width of the renal pelvis >15 mm [13], which was met by 154/2132 pelves (7.2%).…”

Section: Parameters Analysed and Definitionsmentioning

confidence: 99%

“…Crossing vessels, which are thought to cause from 40% to over 50% of the extrinsic UPJ obstructions in adults [4,5], are located ventral more often than dorsal to the UPJ. These are usually normal vessels of the lower pole segment [4,[6][7][8][9], which can be divided into additional renal arteries arising from the aorta, and accessoric renal arteries arising from branches of the aorta [10,11]. The primary surgical therapy of choice is endoscopic endopyelotomy [12].…”

mentioning

confidence: 99%

Accessory or additional renal arteries show no relevant effects on the width of the upper urinary tract: a 64-slice multidetector CT study in 1072 patients with 2132 kidneys

Glodny

Rapf²,

Unterholzner³

et al. 2011

BJR

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Objective: The aim of this study was to find out on an unselected patient group whether crossing vessels have an influence on the width of the renal pelvis and what independent predictors of these target variables exist. Methods: In this cross-sectional study, 1072 patients with arterially contrasted CT scans were included. The 2132 kidneys were supplied by 2736 arteries. Results: On the right side, there were 293 additional and accessory arteries in 286 patients, and on the left side there were 304 in 271 patients. 154 renal pelves were more than 15 mm wide. The greatest independent factor for hydronephrosis on one side was hydronephrosis on the contralateral side (p,0.0001 each). Independent predictors for the width of the renal pelvis on the right side were the width of the renal pelvis on the left, female gender, increasing age and height; for the left side, predictors were the width of the renal pelvis on the right, concrements, parapelvic cysts and great rotation of the upper pole of the kidney to dorsal. Crossing vessels had no influence on the development of hydronephrosis. Only anterior crossing vessels on the right side are associated with widening of the renal pelvis by 1 mm, without making it possible to identify the vessel as an independent factor in multivariate regression models. Conclusion: The width of the renal pelvis on the contralateral side is the strongest independent predictor for hydronephrosis and the width of the renal pelvis. There is no link between crossing vessels and the width of the renal pelvis.

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“…There are many names in the references for multiple renal arteries such as: accessory, aberrant, additional, supernumerary, supplementary arteries, etc. Glodny et al (2009) divided the multiple renal arteries into additional renal arteries arising from the abdominal aorta, and accessory renal arteries arising from branches of the abdominal aorta. He found additional and accessory renal arteries with frequency of 14.6% up to 56% (9).…”

Section: Introductionmentioning

confidence: 99%

“…Glodny et al (2009) divided the multiple renal arteries into additional renal arteries arising from the abdominal aorta, and accessory renal arteries arising from branches of the abdominal aorta. He found additional and accessory renal arteries with frequency of 14.6% up to 56% (9). Other study describes accessory renal arteries, as one with the hilar renal entrance that more often arise below the main renal artery.…”

Section: Introductionmentioning

confidence: 99%

The Anatomy of Renal Arteries in Adults

Stojadinovic

Zivanovic-Macuzic

Jakovcevski

et al. 2022

Serbian Journal of Experimental and Clinical Research

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Detailed extraparenhymal renal hilar dissection was performed on 110 fixed cadaveric kidneys (60 from male cadavers and 50 from female cadavers). We analyzed the number of renal arteries, angles between renal arteries and abdominal aorta, length and diameter of the renal arteries. Multiple renal arteries were present in 20.9% of cases, with a slightly higher incidence on the right side (21.8%: 20.0%). The angle between the aorta and the RRA varied from 30° to 100° with a mean of 64.1°, while the angle between the abdominal aorta and the LRA was 40° to 115°, with a mean of 67.3°. The external caliber of the RRA at the point of origin from the abdominal aorta was 5 mm to 9.1 mm, with a mean of 6.8 mm. The same caliber of the LRA was 3.7 to 9.6 mm with a mean of 7.0 mm. The average length of the renal artery from the point of origin from the abdominal aorta to the branching point was 36.2 mm for the right renal artery and 30.7 mm for the left renal artery. The average length of the renal artery from the point of origin from the abdominal aorta to the renal hilum was 65.1 mm for the right one and 54.7 mm for the left one. Knowledge of the number of renal arteries, their mode of entry into the kidney, the angles they build with the abdominal aorta, their diameter and length has practical applications in interventional radiology and surgery of the kidney and its environment.

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A Right Accessory Renal Artery Arising from a Left Additional Common Renal Artery Stem

Cited by 4 publications

References 6 publications

Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries

Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries

Accessory or additional renal arteries show no relevant effects on the width of the upper urinary tract: a 64-slice multidetector CT study in 1072 patients with 2132 kidneys

The Anatomy of Renal Arteries in Adults

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