Transplant kidney protection during aortic aneurysm surgery.
| Autor: | Chacko KN; Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India., Ninan S, Jacob CK, Korula R |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of urology [J Urol] 1999 Mar; Vol. 161 (3), pp. 891-2. |
| Abstrakt: | Purpose: Renal allografts are sensitive to ischemic insult. During aortic cross clamping prevention of ischemic damage to a kidney below an aneurysm is vital. Many maneuvers have been reported. We describe a simple technique of protecting the transplant kidney from ischemic damage during aortic surgery. Materials and Methods: During vascular cross clamping a sterile ice slush was placed around the kidney for surface cooling, obviating the need for some of the complicated procedures previously reported. Results: After removal of the ice slush and clamps, urine production resumed and creatinine levels remained unchanged. Conclusions: External cooling with ice slush provides adequate renal protection during aortic cross clamping and requires no special expertise or equipment. |
| Databáze: | MEDLINE |
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