Buchs J B, Spiliopoulos A, Mégevand R
Helv Chir Acta. 1980 Jun;47(1-2):213-7.
The scarcity in brain death donors may impose to use kidneys from non-heart-beating donors. In this paper, we have studied the injuries due to warm in situ ischemia, we also propose a pretreatment to protect the kidneys before removal. We propose the use of intra-aortic catheter for flushing by a femoral surgical approach. Functional studies of these kidneys have been performed during 2 h normothermic ex-vivo perfusion and the recognized good organs have been successful reimplanted after 24 h of cold ischemia.
脑死亡供体的稀缺可能促使人们使用非心跳供体的肾脏。在本文中,我们研究了原位热缺血造成的损伤,还提出了在摘取肾脏前进行预处理以保护肾脏的方法。我们建议采用经股部手术入路使用主动脉内导管进行冲洗。在2小时的常温体外灌注期间对这些肾脏进行了功能研究,并且在冷缺血24小时后成功地将确认的优质器官重新植入。