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Scientific article
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English

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

Published inAnnals of vascular surgery, vol. 44, p. 414.e5-414.e9
Publication date2017
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 Transplantation
  • artery
  • delayed graft function
  • ischemia
  • reconstruction
  • reperfusion injury
  • ultrasound
  • vascular injury
Citation (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
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ISSN of the journal0890-5096
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Creation06/01/2017 1:58:00 PM
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