Cardiothoracic & vascular anesthesia

Renal doppler ultrasound: comparison of measurements sampled in different anatomical locations

J Clin Monit ComputPublished Secondary analysis of a cardiac surgery cohort

Authors' conclusion

In a population of postoperative open-heart cardiac surgery patients, comparable results can be expected when sampling renal venous flow pattern from hilar and interlobar veins. Overall low bias but also low precision can be expected when sampling RVSI in hilar and interlobar veins on either side. In regard to RI, low bias and high precision can be expected when sampling from hilar and interlobar arteries on either side.

Study context

Population
Patients recovering from open-heart surgery
Participants
99 patients
Comparison
Renal Doppler measurements in hilar vs interlobar vessels, and left vs right kidney
Methodological detailsmethod comparison study
  • Method comparison study

Primary result

As reported in the abstract

Agreement of renal Doppler measurements between sampling sites
Renal venous flow pattern, Kappa, hilar vs interlobar
84%
Renal venous flow pattern, Kappa, hilar on either side
63%
Renal venous flow pattern, Kappa, interlobar on either side
77%
Renal venous stasis index (RVSI) bias range
0.2% to 4.8%
RVSI limits of agreement consistently wide; percentage error range
96% to 133%
Resistive index (RI) bias range
0.1% to 0.4%
RI limits of agreement consistently narrow; percentage error range
9.9% to 12.3%

Original publication

Renal doppler ultrasound: comparison of measurements sampled in different anatomical locations. J Clin Monit Comput. Published 20 February 2026. doi:10.1007/s10877-026-01413-3

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