Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1982-10-12
pubmed:abstractText
We transplanted 8 kidneys with multiple vessels into 8 recipients using microvascular techniques to reconstruct renal arteries. Three living related combinations underwent implantation of small polar vessels (end-to-side) into the main renal artery and 1 underwent conjoined (side-to-side) anastomosis of 2 equal-sized renal arteries to form a common ostium. Additional techniques were used to manage 4 cadaver kidneys with multiple renal vessels. These included anastomosis of the lower pole artery to the inferior epigastric artery, end-to-end reanastomosis of the severed branch renal artery, separate anastomoses of 2 renal arteries to 2 branches of the hypogastric artery, and placement of 2 pediatric cadaver kidneys en bloc by anastomosis of the infrahilar aorta into the external iliac artery, and anastomosis of the infrahilar vena cava to the external iliac vein. Vascular patency (confirmed by angiography) was uniform for all anastomotic vessels. No hypertensive problems developed. In 2 cases ureteral leakage occurred, which leads us to advise caution when contemplating intrahilar vascular reconstruction of short left multiple renal arteries. Recent advances in technology of microvascular surgery have enabled dependable reconstruction of multiple renal vessels in living related and cadaver donor kidneys.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0022-5347
pubmed:author
pubmed:issnType
Print
pubmed:volume
128
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
112-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1982
pubmed:articleTitle
Microvascular management of multiple renal arteries in transplantation.
pubmed:publicationType
Journal Article, Case Reports