Regional extra-corporeal circulation to protect transplanted kidney and pancreas from ischemia during vascular reconstruction

Cardiovasc Surg. 2002 Feb;10(1):19-22. doi: 10.1016/s0967-2109(01)00046-1.

Abstract

The development of severe aorto-ilio-femoral atherosclerotic disease in a patient with a previous double transplantation, kidney and pancreas, is a major surgical challenge. The transplanted organs have to be protected from extensive ischemia during the vascular reconstructive procedure and achieve optimal revascularization. The surgical management of a complex case where regional extra-corporeal circulation was used to protect transplanted pancreas and kidney during aorto-bifemoral vascular grafting in a 39 yr old diabetic patient is described. Regional femoro-femoral extra-corporeal circulation with an oxygenator is a safe technique that allows time for the proximal revascularization, minimizes the warm organ ischemia time and results in preservation of organ function.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta / physiopathology
  • Aorta / surgery
  • Arteriosclerosis Obliterans / complications
  • Arteriosclerosis Obliterans / physiopathology
  • Arteriosclerosis Obliterans / surgery*
  • Extracorporeal Circulation / methods*
  • Female
  • Femoral Artery / physiopathology
  • Femoral Artery / surgery
  • Humans
  • Iliac Artery / physiopathology
  • Iliac Artery / surgery
  • Ischemia / complications
  • Ischemia / physiopathology
  • Ischemia / prevention & control*
  • Kidney Transplantation*
  • Leg / blood supply*
  • Leg / surgery
  • Pancreas Transplantation*
  • Reoperation
  • Time Factors