Topographic-anatomical Relationships of the Arterial and Venous Beds of the Kidneys
https://doi.org/10.47619/2713-2617.zm.2025.v.6i1;55-65
Abstract
Background. Anatomical and topographic features of the arterial and venous bed of the kidneys are crucial for the proper functioning of the organ and affect the onset of various pathologies, such as hypertension, chronic kidney disease, venous thrombosis, and venous congestion. The kidneys have a complex vascular system, including the renal artery, which supplies the organ with blood, and the renal vein, which ensures blood outflow. Disturbances in these anatomical structures can lead to significant clinical consequences.
Purpose. The article analyzes the topographic and anatomical features of the vascular structures of the kidneys and their relationships. It examines the primary mechanisms that may lead to pathologies associated with impaired blood circulation in the kidneys. In particular, the discussion focuses on the pathophysiology of arterial hypertension, which often occurs due to impaired microcirculation in the kidneys, and chronic kidney disease (CKD), including their vascular aspects. The article also examines modern diagnostic methods such as angiography, ultrasound diagnostics, and MRI, which allow detecting changes in the arterial and venous bed of the kidneys at early stages. Issues associated with impaired venous outflow of blood from the kidneys can cause the development of chronic renal failure, which requires timely diagnosis and intervention.
Conclusions. The author of the article emphasizes the importance of early detection of vascular disorders of the kidneys and the development of effective preventive programs aimed at reducing morbidity and mortality associated with kidney disease. Measures that can be introduced into the public health system are discussed, such as regular screening programs for patients at risk of developing vascular diseases, as well as training programs for health workers.
Keywords
About the Authors
Sh. I. AkbaevRussian Federation
Shamil I. Akbaev – postgraduate student, Department of Normal and Topographic Anatomy with Operative Surgery, Medical Institute
Sheripov Ul., 32, Grozny, 364907
Z. U. Lechiev
Russian Federation
Zelimjan U. Lechiev – applicant, Department of Normal and Topographic Anatomy with Operative Surgery, Medical Institute
Sheripov Ul., 32, Grozny, 364907
E. S. Kafarov
Russian Federation
Edgar S. Kafarov – Dr. Sci. in Medicine, professor, head of the Department of Normal and Topographic Anatomy with Operative Surgery, Medical Institute
Sheripov Ul., 32, Grozny, 364907
References
1. Popov S.V., Yesayan A.M., Guseynov R.G., Perepelitsa V.V., Vorobyova O.A., Sadovnikova A.V. Difficulties in diagnosing and treating recurrent aHUS in a modern hospital setting. Clinical Nephrology. 2023;4:28-33. https://doi.org/10.18565/nephrology.2023.4.28-33 (In Russ.)
2. Dubrovin V.N., Egoshin A.V., Rozhentsov A.A., et al. 3D modeling and preoperative planning when de- termining indications for laparoscopic laser kidney resection without thermal ischemia. Bashkortostan Medical Journal. 2020;15(3-87):94-98. (In Russ.)
3. Azhar R.A. The influence of 3D renal reconstruction on surgical planning for complex renal tumors: An interactive case-based survey. Int Braz J Urol. 2023;49(3):372-382. https://doi.org/10.1590/S1677-5538.IBJU.2022.0623
4. Dos Reis R.B., Feres R.N., da Silva M.C., Muglia V.F., Rodrigues A.A. The dilemma of partial nephrectomy and surgical upstaging. Int Braz J Urol. 2022;48:795-797. https://doi.org/10.1590/S1677-5538.IBJU.2021.0859.1
5. Herr H.W. A history of partial nephrectomy for renal tumors. J Urol. 2005;173:705-708. https://doi.org/10.1097/01.ju.0000146270.65101.1d
6. Tian Y.Q., Ren X., Yin Y.S., Wang J., Li X., Guo Z.H., Zeng X.Y. Analysis of risk factors affecting the postop- erative drainage after a laparoscopic partial nephrectomy: a retrospective study. Front Med (Lausanne). 2024;24(11):1327882. https://doi.org/10.3389/fmed.2024.1327882
7. Xiao Y., Shan Z.J., Yang J.F., Len J.J., Yu Y.H., Yang M.L. Nephrometric scoring system: Recent advances and outlooks. Urol Oncol. 2023;41(1):15-26. https://doi.org/10.1016/j.urolonc.2022.06.019
8. Mahootiha M., Qadir H.A., Bergsland J., Balasingham I. Multimodal deep learning for personalized renal cell carcinoma prognosis: Integrating CT imaging and clinical data. Comput Methods Programs Biomed. 2024;244:107978. https://doi.org/10.1016/j.cmpb.2023.107978
9. MacLennan S., Imamura M., Lapitan M.C., et al. Systematic review of oncological outcomes following surgical management of localised renal cancer. Eur Urol. 2012;61(5):972-993. https://doi.org/10.1016/j.eururo.2012.02.039
10. Inderbir S.G., Manuel S., Eisenberg M., Aron M., Berger A., Ukimura O., Patil M.B., Campese V., Thangathurai D., Desai M.M. “Zero Ischemia” Partial Nephrectomy: Novel Laparoscopic and Robotic Technique. Eur Urol. 2011;59(1):128-134. https://doi.org/10.1016/j.eururo.2010.10.002
11. Tatevosyan A.S., Tonyan A.G., Khalafyan A.A. Pathogenetical aspects of complicated abnormal renal mo- bility. J Urology. 2013;2:24-27. (In Russ.)
12. Shirk J.D., Thiel D.D., Wallen E.M., Linehan J.M., White W.M., Badani K.K., Porter J.R. Effect of 3-Dimen- sional Virtual Reality Models for Surgical Planning of Robotic-Assisted Partial Nephrectomy on Surgical Outcomes: A Randomized Clinical Trial. JAMA Netw. 2019;2(9):e1911598. https://doi.org/10.1001/jamanetworkopen.2019.11598
13. Piramide F., Kowalewski K.F., Cacciamani G., et al. Three-dimensional Model-assisted Minimally Invasive Partial Nephrectomy: A Systematic Review with Meta-analysis of Comparative Studies. Eur Urol Oncol. 2022;5(6):640-650. https://doi.org/10.1016/j.euo.2022.09.003
14. Kang S.K., Zhang A., Pandharipande P.V., Chandarana H., Braithwaite R.S., Littenberg B.D. DWI for Renal Mass Characterization: Systematic Review and Meta-Analysis of Diagnostic Test Performance. Am J Roentgenol. 2015;205(2):317-324. https://doi.org/10.2214/AJR.14.13930
15. Porpiglia F., Bertolo R., Checcucci E., Amparore D., Autorino R., Dasgupta P., Wiklund P., Tewari A., Liatsikos E., Fiori C., et al. Development and validation of 3D printed virtual models for robot-assist- ed radical prostatectomy and partial nephrectomy: Urologists’ and patients’ perception. World J Urol. 2018;36:201-207. https://doi.org/10.1007/s00345-017-2126-1
16. Sighinolfi M.C., Menezes A.D., Patel V., et al. Three-Dimensional Customized Imaging Reconstruction for Urological Surgery: Diffusion and Role in Real-Life Practice from an International Survey. J Pers Med. 2023;13(10):1435. https://doi.org/10.3390/jpm13101435
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Review
For citations:
Akbaev Sh.I., Lechiev Z.U., Kafarov E.S. Topographic-anatomical Relationships of the Arterial and Venous Beds of the Kidneys. City Healthcare. 2025;6(1):55-65. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2025.v.6i1;55-65