Ex vivo renal repair: technical tips, when, and why
| Autor: | Marshall E. Benjamin, Justin K. Nelms |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Renal function Nephron urologic and male genital diseases Patient Positioning Renal Circulation Renal Artery medicine.artery Preoperative Care medicine Humans Renal Insufficiency Warm Ischemia Renal artery Renal ischemia business.industry Cold Ischemia Angiography food and beverages Aneurysm Surgery Treatment Outcome medicine.anatomical_structure Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Perfusion Ex vivo |
| Zdroj: | Seminars in Vascular Surgery. 26:199-204 |
| ISSN: | 0895-7967 |
| DOI: | 10.1053/j.semvascsurg.2014.06.010 |
| Popis: | Ex vivo renal artery repair combined with cold perfusion protection is an operative technique for managing complex renal artery lesions. Most diseases of the renal artery are proximal, and typically treated either medically, by endovascular means, or surgically. When surgery of the main renal artery is required, it can typically be performed with warm renal ischemia times of30 minutes. However, in more distal disease, which can involve the segmental branches, a much more complicated surgical reconstruction can be anticipated. This often will necessitate warm ischemia times of45 minutes, and can lead to direct renal nephron damage. In this setting, the ex vivo technique with cold perfusion can allow for lengthy reconstructive times of several hours without any measurable harm to renal function. The technique can be performed with low morbidity and mortality, an excellent rate of renal salvage, and preservation of renal function. |
| Databáze: | OpenAIRE |
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