Kidney Blood Flow

Quizzes on the Anatomy of Renal Blood Vessels

Introduction

The renal blood supply consists of a complex network of arteries, arterioles, capillaries, and veins. Arteries carry blood into the kidney and divide into smaller vessels. Arterioles deliver blood to capillaries associated with the nephrons. The nephrons and capillaries work together to remove waste products and regulate the blood’s water and ion content. Finally, veins collect the blood and return it to systemic circulation.

Major Arteries

Oxygenated blood flows toward the kidney from the abdominal aorta via the renal artery. Before entering the kidney, the renal artery divides into segmental arteries that supply five separate regions of the kidney. As they pass through the renal hilum, the segmental arteries further divide to form the interlobar arteries. These vessels carry blood through the renal columns, which are located between the renal pyramids. The interlobar arteries branch into the arcuate arteries, which curve along the bases of the renal pyramids at the boundary between the renal cortex and medulla.

Major arteries of the kidney

Arterioles and Capillaries

Each arcuate artery supplies blood to several cortical radiate (or interlobular) arteries that extend perpendicularly into the renal cortex. Numerous afferent arterioles branch from the cortical radiate arteries and deliver blood to the glomerular capillaries, where fluid is filtered from the blood into the capsule of each nephron. Blood is carried away from the glomeruli by efferent arterioles, which form peritubular capillaries or vasa recta. Peritubular capillaries surround the nephron tubules in the cortex, while the vasa recta extend alongside nephron loops in the medulla. As filtrate flows through the nephron tubules, essential substances are reabsorbed into the bloodstream and waste products are secreted into the tubules.

Cortical nephron, glomerulus, peritubular capillaries, afferent arteriole, efferent arteriole, cortical radiate artery and vein, arcuate artery and vein
Medullary nephron, glomerulus, vasa rectua capillaries, afferent arteriole, efferent arteriole, cortical radiate artery and vein, arcuate artery and vein

Major Veins

Venous drainage from the kidneys begins when capillaries empty into the cortical radiate (interlobular) veins in the renal cortex. These veins transport blood to the arcuate veins, which run parallel to the arcuate arteries along the corticomedullary junction. The arcuate veins drain into the interlobar veins, which carry blood through the renal columns toward the renal hilum. The interlobar veins join to form the renal vein. Finally, blood leaves the kidney through the renal vein and returns to the heart through the inferior vena cava.

Major veins of the kidney

Quizzes

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References and Attributions

Cleveland Clinic – “Renal Artery.”

ScienceDirect – “Kidney Blood Flow.”

ScienceDirect – “Kidney Circulation.”

OpenStax; Anatomy and Physiology – “Gross Anatomy of the Kidney” (Access for free at – https://openstax.org/books/anatomy-and-physiology/pages/1-introduction).

Radiopaedia – “Kidneys.”

University of Nottingham – “Anatomy of the Kidneys: Blood Flow“.