The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries
المؤلفون المشاركون
Babolhavaej, Hooshang
Husayni, Shahrayar Amir
Bahr, Habib Musawi
Ghulyaf, Mahmud
Amirzargar, Muhammad Ali
Amirzargar, Nasibeh
Dadras, Farahnaz
Khoshjoo, Farhad
Yavangi, Mahnaz
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 24، العدد 2 (30 إبريل/نيسان 2013)، ص ص. 247-253، 7ص.
الناشر
تاريخ النشر
2013-04-30
دولة النشر
السعودية
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
The most common anatomic variant seen in the donor kidneys for renal transplantation is multiple renal arteries (MRA), which can cause an increased risk of complications.
We describe the long-term outcomes of 16 years of experience in 76 kidney transplantations with MRAs.
In a new reconstruction technique, we remove arterial clamps after anastomosing the donor to the recipient's main renal vessels, which cause backflow from accessory arteries to prevent thrombosis.
By this technique, we reduce the ischemic times as well as the operating times.
Both in live or cadaver donor kidneys, lower polar arteries were anastomosed to the inferior epigastric artery and upper polar arteries were anastomosed to the superior epigastric arteries.
Injection of Papaverine and ablation of sympathic nerves of these arteries dilate and prevent them from post-operative spasm.
Follow-up DTPA renal scan in all patients showed good perfusion and function of the transplanted kidney, except two cases of polar arterial thrombosis.
Mean creatinine levels during at least two years of follow-up remained acceptable.
Patient and graft survival were excellent.
No cases of ATN, hypertension, rejection and urologic complications were found.
In conclusion, this technique can be safely and successfully utilized for renal transplantation with kidneys having MRAs, and may be associated with a lower complication rate and better graft function compared with the existing techniques.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Amirzargar, Muhammad Ali& Babolhavaej, Hooshang& Husayni, Shahrayar Amir& Bahr, Habib Musawi& Ghulyaf, Mahmud& Dadras, Farahnaz…[et al.]. 2013. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 2, pp.247-253.
https://search.emarefa.net/detail/BIM-328890
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Amirzargar, Muhammad Ali…[et al.]. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 2 (2013), pp.247-253.
https://search.emarefa.net/detail/BIM-328890
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Amirzargar, Muhammad Ali& Babolhavaej, Hooshang& Husayni, Shahrayar Amir& Bahr, Habib Musawi& Ghulyaf, Mahmud& Dadras, Farahnaz…[et al.]. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 2, pp.247-253.
https://search.emarefa.net/detail/BIM-328890
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 252-253
رقم السجل
BIM-328890
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر