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Delayed Renal Graft Function
Jade Wong-You-Cheong, MBChB, MRCP, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Delayed graft function (DGF)
            • Definitions

              • DGF lacks standardized definition
                • Most common: Need for dialysis in 1st week after transplantation
                  • Or failure of serum creatinine to halve within 1st week after transplantation
                  • Or failure of serum creatinine to decrease by 10% on 3 consecutive days within 1st week after transplantation

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Nuclear Medicine Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Risk Factors

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Aitken E et al: Delayed graft function is a syndrome rather than a diagnosis. Exp Clin Transplant. 13(1):19-25, 2015
                                    2. Granata A et al: Renal transplant vascular complications: the role of Doppler ultrasound. J Ultrasound. 18(2):101-7, 2015
                                    3. Granata A et al: Renal transplantation parenchymal complications: what Doppler ultrasound can and cannot do. J Ultrasound. 18(2):109-16, 2015
                                    4. Ninet S et al: Doppler-based renal resistive index for prediction of renal dysfunction reversibility: A systematic review and meta-analysis. J Crit Care. 30(3):629-35, 2015
                                    5. Shakeri Bavil A et al: The inability of an early post-transplantation intrarenal resistive index to predict renal allograft function at 12 weeks after engraftment in young adults. Acta Radiol. ePub, 2015
                                    6. Cano H et al: Resistance index measured by Doppler ultrasound as a predictor of graft function after kidney transplantation. Transplant Proc. 46(9):2972-4, 2014
                                    7. Rodgers SK et al: Ultrasonographic evaluation of the renal transplant. Radiol Clin North Am. 52(6):1307-24, 2014
                                    8. Schwenger V et al: Contrast-enhanced ultrasonography in the early period after kidney transplantation predicts long-term allograft function. Transplant Proc. 46(10):3352-7, 2014
                                    9. Sharif A et al: Delayed graft function after kidney transplantation: the clinical perspective. Am J Kidney Dis. 62(1):150-8, 2013
                                    10. Uliel L et al: Nuclear medicine in the acute clinical setting: indications, imaging findings, and potential pitfalls. Radiographics. 33(2):375-96, 2013
                                    11. Cosgrove DO et al: Renal transplants: what ultrasound can and cannot do. Ultrasound Q. 24(2):77-87; quiz 141-2, 2008
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Pathology

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Delayed graft function (DGF)
                                              • Definitions

                                                • DGF lacks standardized definition
                                                  • Most common: Need for dialysis in 1st week after transplantation
                                                    • Or failure of serum creatinine to halve within 1st week after transplantation
                                                    • Or failure of serum creatinine to decrease by 10% on 3 consecutive days within 1st week after transplantation

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • Nuclear Medicine Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Risk Factors

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Aitken E et al: Delayed graft function is a syndrome rather than a diagnosis. Exp Clin Transplant. 13(1):19-25, 2015
                                                                      2. Granata A et al: Renal transplant vascular complications: the role of Doppler ultrasound. J Ultrasound. 18(2):101-7, 2015
                                                                      3. Granata A et al: Renal transplantation parenchymal complications: what Doppler ultrasound can and cannot do. J Ultrasound. 18(2):109-16, 2015
                                                                      4. Ninet S et al: Doppler-based renal resistive index for prediction of renal dysfunction reversibility: A systematic review and meta-analysis. J Crit Care. 30(3):629-35, 2015
                                                                      5. Shakeri Bavil A et al: The inability of an early post-transplantation intrarenal resistive index to predict renal allograft function at 12 weeks after engraftment in young adults. Acta Radiol. ePub, 2015
                                                                      6. Cano H et al: Resistance index measured by Doppler ultrasound as a predictor of graft function after kidney transplantation. Transplant Proc. 46(9):2972-4, 2014
                                                                      7. Rodgers SK et al: Ultrasonographic evaluation of the renal transplant. Radiol Clin North Am. 52(6):1307-24, 2014
                                                                      8. Schwenger V et al: Contrast-enhanced ultrasonography in the early period after kidney transplantation predicts long-term allograft function. Transplant Proc. 46(10):3352-7, 2014
                                                                      9. Sharif A et al: Delayed graft function after kidney transplantation: the clinical perspective. Am J Kidney Dis. 62(1):150-8, 2013
                                                                      10. Uliel L et al: Nuclear medicine in the acute clinical setting: indications, imaging findings, and potential pitfalls. Radiographics. 33(2):375-96, 2013
                                                                      11. Cosgrove DO et al: Renal transplants: what ultrasound can and cannot do. Ultrasound Q. 24(2):77-87; quiz 141-2, 2008