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Title

Regional extra-corporeal circulation to protect transplanted kidney and pancreas from ischemia during vascular reconstruction

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Published in Cardiovascular Surgery. 2002, vol. 10, no. 1, p. 19-22
Abstract The development of severe aorto-ilio-femoral atherosclerotic disease in a patient with a previous double transplantation, kidney and pancreas, is a major surgical challenge. The transplanted organs have to be protected from extensive ischemia during the vascular reconstructive procedure and achieve optimal revascularization. The surgical management of a complex case where regional extra-corporeal circulation was used to protect transplanted pancreas and kidney during aorto-bifemoral vascular grafting in a 39 yr old diabetic patient is described. Regional femoro-femoral extra-corporeal circulation with an oxygenator is a safe technique that allows time for the proximal revascularization, minimizes the warm organ ischemia time and results in preservation of organ function.
Keywords AdultAorta/physiopathology/surgeryArteriosclerosis Obliterans/complications/physiopathology/surgeryExtracorporeal Circulation/methodsFemaleFemoral Artery/physiopathology/surgeryHumansIliac Artery/physiopathology/surgeryIschemia/complications/physiopathology/prevention & controlKidney TransplantationLeg/blood supply/surgeryPancreas TransplantationReoperationTime Factors
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PMID: 11790571
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Article (Published version) (195 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research groups Chirurgie cardio-vasculaire (105)
Chirurgie viscérale (104)
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FAIDUTTI, Bernard et al. Regional extra-corporeal circulation to protect transplanted kidney and pancreas from ischemia during vascular reconstruction. In: Cardiovascular Surgery, 2002, vol. 10, n° 1, p. 19-22. https://archive-ouverte.unige.ch/unige:45991

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Deposited on : 2015-01-29

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