Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
Transplant Proc. 2022 May;54(4):1145-1147. doi: 10.1016/j.transproceed.2022.02.050. Epub 2022 May 12.
The presence of multiple renal arteries is the most common form of vascular anomalies found in donor kidneys. In rare cases, small renal polar arteries may be found. They can be anastomosed with deep inferior epigastric arteries, resulting in vascular augmentation of transplanted kidneys and contributing to better graft function. Renal perfusion may be increased via 2 types of vascular reconstruction known as "turbocharging" and "supercharging". Turbocharging uses vascular sources within the same organ area, whereas supercharging uses distant vascular sources. Using additional vessels can either complicate the surgery or, contradictorily, ease the way of procedure. This case study presents a kidney transplant during which arterial anastomosis between deep inferior epigastric artery and small polar renal artery was performed.
有多条肾动脉是供体肾脏中最常见的血管异常形式。在极少数情况下，可能会发现小的肾极动脉。它们可以与腹壁下深动脉吻合，从而增加移植肾脏的血管供应，有助于改善移植物功能。肾脏灌注可以通过两种称为“涡轮增压”和“增压器”的血管重建来增加。涡轮增压使用同一器官区域内的血管来源，而增压器则使用远处的血管来源。使用额外的血管可能会使手术变得复杂，或者相反，使手术过程变得简单。本病例研究介绍了一例在深下腹壁动脉和小极肾动脉之间进行动脉吻合的肾移植术。
