Elastogreffe: Evaluation of Kidney Graft's Fibrosis With Real Time Shear-wave Elastography
Study Details
Study Description
Brief Summary
Kidney graft's fibrosis is correlated with prognostic of kidney's graft, wathever the initial etiology. Actually, that evaluation is based on histologic score of Banff FI/AT (0 to III). It is obtained thanks to punction-biopsy, which is invasive and can lead complications. This exam is systematic on M3 of the transplantation.
Tissue's fibrosis is a proliferation of extracellular matrix, leading to an increase of fibrosed tissue rigidity.
Elastography is an ultrasound technique allowing evaluation of tissues' rigidity.
The purpose is the validation of elastograhpy, innovative and non -invasive technique, and more specifically Shear Wave Elastography (SWE). For this, strain ratio (SR) could improve intra-operator variability and estimate fibrosis' degree of kidney's graft.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Kidney graft's fibrosis is correlated with prognostic of kidney's graft, wathever the initial etiology. Actually, that evaluation is based on histologic score of Banff FI/AT (0 to III). It is obtained thanks to punction-biopsy, which is invasive and can lead complications. This exam is systematic on M3 of the transplantation.
Tissue's fibrosis is a proliferation of extracellular matrix, leading to an increase of fibrosed tissue rigidity.
Elastography is an ultrasound technique allowing evaluation of tissues' rigidity.
The purpose is the validation of elastograhpy, innovative and non -invasive technique, and more specifically Shear Wave Elastography (SWE). For this, strain ratio (SR) could improve intra-operator variability and estimate fibrosis' degree of kidney's graft.
Study Design
Outcome Measures
Primary Outcome Measures
- measure of shear wave elastography [3 months]
Evaluation of shear wave elastography real time as biomarker of kidney graft's fibrosis
Secondary Outcome Measures
- Strain Ratio measure [3 months]
- Intra-operator variability of Strain Ratio measure
Eligibility Criteria
Criteria
Inclusion Criteria:
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Kidney-transplanted patient, whatever kind of organ donation ( alive donor, deceased donor included extended criteria Maastricht 2 or 3)
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More than 18 years-old
Exclusion Criteria:
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Dual kidney graft
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Hydronephrosis / urinary obstacle
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Pathologies with an intrinsic compression on the graft
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Stenosis hemodynamically significant of graft artery (lengthening of Systolic Ascent Time > 70 ms)
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Contra-indication to systematical punction-biopsy on Month 3 :
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Ischemia of post-transplanted graft
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Alive donor HLA identical
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Hemostasis disorder or unable to stop antiaggregant or anticoagulant
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Hydronephrosis / urinary obstacle
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Opposition to use the data
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Chu Tours | Tours | France | 37044 |
Sponsors and Collaborators
- University Hospital, Tours
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RIPH3-RNI18-Elastogreffe