Hawksworth Jason S, Fitzgerald Dave, Speir Alan, Mukherjee Dipankar
Department of Surgery, Walter Reed Army Medical Center, Washignton, DC, USA.
Vascular. 2010 Nov-Dec;18(6):367-70. doi: 10.2310/6670.2010.00057.
The surgical management of aortic aneurysms in kidney transplant patients is a difficult clinical scenario where preservation of the kidney allograft during aortic cross-clamping is paramount. We describe a novel technique for renal protection during abdominal aortic aneurysm repair with in situ oxygenated pump perfusion of the transplanted kidney. A percutaneous approach is used for common femoral artery and vein cannulation and a cardiopulmonary bypass circuit to provide retrograde oxygenated pump perfusion to the transplanted kidney. This technique allows adequate kidney perfusion during warm ischemia and minimizes morbidity by using a percutaneous access technique.
肾移植患者主动脉瘤的外科治疗是一种困难的临床情况，在主动脉交叉钳夹期间保护同种异体肾至关重要。我们描述了一种在腹主动脉瘤修复过程中通过对移植肾进行原位充氧泵灌注来保护肾脏的新技术。采用经皮方法进行股总动脉和静脉插管，并使用体外循环回路为移植肾提供逆行充氧泵灌注。该技术通过经皮穿刺技术在热缺血期间实现了对肾脏的充分灌注，并将发病率降至最低。
