Wolf W, Ayisi K, Ismail M, Kalmar P, Pokar H, Trautwein S
Department of Thoracic- and Cardiovascular-Surgery, University Hospital, Hamburg, Germany.
Thorac Cardiovasc Surg. 1991 Dec;39(6):384-5. doi: 10.1055/s-2007-1020006.
The successful resection of an abdominal aortic aneurysm is presented in a patient who had undergone kidney transplantation 4 years previously. Because the transplanted kidney is more sensitive to ischemia than a normal one, a femoro-femoral bypass with a pump oxygenator was used for perfusion of the transplanted kidney during crossclamping. During the clamping time of 40 minutes kidney perfusion was maintained with a perfusion pressure of 60 to 80 mmHg and the flow was 600 to 1000 ml/min. A collagen-seeded Dacron graft (diameter: 18 mm, length: 12 mm) was interposed. The postoperative course was uncomplicated. We believe that performing the femoro-femoral bypass with a pump oxygenator is an effective and simple method for kidney protection in such operations.
本文介绍了一名4年前接受过肾移植患者的腹主动脉瘤成功切除手术。由于移植肾比正常肾对缺血更敏感，在交叉钳夹期间使用带泵氧合器的股-股旁路来灌注移植肾。在40分钟的钳夹时间内，以60至80 mmHg的灌注压力维持肾灌注，流量为600至1000 ml/分钟。置入了植入胶原蛋白的涤纶移植物（直径：18 mm，长度：12 mm）。术后过程顺利。我们认为，在这类手术中使用带泵氧合器进行股-股旁路是一种有效且简单的肾脏保护方法。
