Avascular plane of kidney

Planum avasculosum renis

  • Eponym: Brödel’s white line; Avascular plane of Brödel

Definition

Antoine Micheau

The junction of the anterior and posterior branches of the main renal artery in the renal parenchyma creates a relatively avascular plane, the avascular plane of kidney (Brodel’s line), that is located at  the section of renal parenchyma between 2/3 anterior and 1/3 posterior kidney on the cross-section, just posterior to the lateral convex border of the kidney.

It is the preferred track of placing percutaneous nephrostomies and should be considered when performing biopsies of a native or transplanted kidney. Because of the orientation of the kidney, the entry through a posterior calyx usually traverse the Brodel’s line.

References

Rani N, Singh S, Dhar P, Kumar R. Surgical importance of arterial segments of human kidneys: an angiography and corrosion cast study. J Clin Diagn Res. 2014 Mar;8(3):1-3. doi: 10.7860/JCDR/2014/7396.4086. Epub 2014 Mar 15. PMID: 24783063; PMCID: PMC4003

Gallery