Oakes D D, Spees E K, Light J A
Am Surg. 1981 Jun;47(6):272-4.
A case presented in which a kidney with multiple (four) renal arteries was perfused by cannulating the two larger vessels. In spite of precautions to minimize damage at the sites of cannulation, stenosis developed at the orifices of the two principal vessels. This resulted in renovascular hypertension and led eventually to transplant nephrectomy. A technique has subsequently been developed to permit perfusion preservation without direct cannulation of the renal arteries. This completely eliminates cannula-related injury as a cause of renal artery stenosis.
本文介绍了一个病例，该病例中一个有四条肾动脉的肾脏通过插管两条较大的血管进行灌注。尽管采取了预防措施以尽量减少插管部位的损伤，但两条主要血管的开口处仍出现了狭窄。这导致了肾血管性高血压，并最终导致移植肾切除术。随后开发了一种技术，可在不直接插管肾动脉的情况下进行灌注保存。这完全消除了与插管相关的损伤作为肾动脉狭窄原因的可能性。
