Document Detail

Ex vivo renal artery reconstructions: indications and techniques.
MedLine Citation:
PMID:  3783829     Owner:  NLM     Status:  MEDLINE    
Ex vivo renal artery surgery has been reported by several investigators and has extended the role of revascularization in the treatment of lesions previously managed by nephrectomy alone. Several techniques are available for use, and selection of the most appropriate method can be tailored to the specific anatomy being managed. Our total experience included 27 kidneys that have been managed by ex vivo renal artery reconstruction. Lesions managed in this manner include two kidneys with renal artery stenosis and renal tumors, one kidney with a congenital branch arteriovenous malformation, and 24 kidneys with branch occlusive or aneurysmal disease from fibromuscular dysplasia. Postoperative angiography was performed in 22 cases and defined successful revascularization without technical error in 20 cases. One operative death occurred as a result of myocardial infarction. One patient required reoperation to control bleeding, and two patients had temporary acute tubular necrosis during the postoperative period. Techniques employed included ex vivo repair with autotransplantation to the iliac system (six kidneys), mobilization and perfusion without transection of the renal vein (10 kidneys), and ex vivo perfusion and repair with replacement into the original renal fossa (11 kidneys). The authors believe this latter technique of reconstruction to be preferable to autotransplantation for the usual patient undergoing ex vivo repair of complex renovascular lesions.
R H Dean; P W Meacham; F A Weaver
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  4     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-01-06     Completed Date:  1987-01-06     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  546-52     Citation Subset:  IM    
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MeSH Terms
Arteriovenous Fistula / surgery
Carcinoma, Renal Cell / surgery
Fibromuscular Dysplasia / surgery
Hypothermia, Induced / methods
Kidney Neoplasms / surgery
Middle Aged
Renal Artery / surgery*
Renal Artery Obstruction / etiology,  surgery*
Renal Veins
Transplantation, Autologous
Grant Support
14192-16//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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