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Title

Surgical repair of a living-donor kidney graft artery kink by a post anastomotic external iliac artery rotation and re-anastomosis

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Published in Annals of Vascular Surgery. 2017, vol. 44, p. 414.e5-414.e9
Abstract A 61-year-old man received a living-donor kidney graft for an end-stage renal disease. In the postoperative course the patient was oliguric and needed dialysis. The postoperative Doppler showed a normal peak systolic velocity and maintained parenchymal perfusion associated with a parvus tardus signal. The patient was operated and a kinked renal artery was found. To reposition the artery, the distal iliac artery was clamped, sectioned, shortened and re-anastomosed after a 90° axial rotation. This innovative technic allowed restoration of a normal flow in the parenchyma and avoided an additional clamping, cooling, ischemia and re-anastomosis/reperfusion of the graft. Postoperative diuresis immediately raised >100 ml/h and creatinine durably returned to normal values.
Keywords Renal Transplantationarterydelayed graft functionischemiareconstructionreperfusion injuryultrasoundvascular injury
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PMID: 28479435
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Article (Accepted version) (1.2 MB) - public document Free access
Structures
Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
Transplantation et hépatologie (905)
La transplantation d'îlots de Langerhans (623)
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(ISO format)
MEIER, Raphaël et al. Surgical repair of a living-donor kidney graft artery kink by a post anastomotic external iliac artery rotation and re-anastomosis. In: Annals of Vascular Surgery, 2017, vol. 44, p. 414.e5-414.e9. doi: 10.1016/j.avsg.2017.03.183 https://archive-ouverte.unige.ch/unige:94586

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Deposited on : 2017-06-01

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