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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2013, Number 2

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Rev Mex Angiol 2013; 41 (2)

Autotrasplante de riñón. Aneurismas de la arteria renal

Gutiérrez-Carreño AR, Sánchez-Fabela C, Sigler-Morales L, Lizola-Margolis RI, Morales-Morales MC, Mendieta-Hernández M

Language: Spanish
References: 60
Page: 48-54
PDF size: 563.32 Kb.


ABSTRACT

Introduction: Kidney autotransplantation can assist in the management of various types of alterations at the level of the renal blood vessels, ureter and renal parenchyma.
Objective: To inform an overview of kidney autotransplantation. We report of seven cases with renal artery aneurysms and hypertension who underwent a successful kidney autotransplantation. The emphasis in the angiographic diagnosis, surgical technique, the use of organ preservation solutions, ex vivo repair and autotransplantation.
Material and methods: Seven patients underwent renal autotransplantation for renal artery aneurysms. Four were men and three women. Aged from 22 to 38 years. All had high blood pressure difficult to control. In all the final study was arteriography.
Results: In all seven patients arterial blood pressure was controlled and kidney function was preserved in all of them.
Conclusions: Current advances in microvascular techniques, renal preservation solutions, and extracorporeal surgery with autotransplantation have broadened treatable renal disease, ranging from multiple artery reconstructions to complex oncology cases (anatrophic surgery), and also, high ureteral injuries.


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