Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 405-412.e2 , September 2007

Branch renal artery repair with cold perfusion protection

Presented at the Thirty-first Annual Meeting of the Southern Association for Vascular Surgery, Rio Grande, Puerto Rico, Jan 17-20, 2007.

  • Teresa A. Crutchley, MD

      Affiliations

    • Division of Surgical Sciences, Section on Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
    • ,
  • Jeffrey D. Pearce, MD

      Affiliations

    • Division of Surgical Sciences, Section on Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
    • ,
  • Timothy E. Craven, MSPH

      Affiliations

    • Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC.
    • ,
  • Matthew S. Edwards, MD

      Affiliations

    • Division of Surgical Sciences, Section on Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
    • ,
  • Richard H. Dean, MD

      Affiliations

    • Division of Surgical Sciences, Section on Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
    • ,
  • Kimberley J. Hansen, MD

      Affiliations

    • Division of Surgical Sciences, Section on Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
    • Corresponding Author InformationReprint requests: Kimberley J. Hansen, MD, Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1095.

Received 15 January 2007 ,Accepted 11 April 2007.

  • Image Result

    Branch renal artery repair with cold perfusion preservation. A, In situ repair using cold perfusion. Renal mobilization and reconstruction is performed without transecting the renal vein. B, Ex vivo r

    Branch renal artery repair with cold perfusion preservation. A, In situ repair using cold perfusion. Renal mobilization and reconstruction is performed without transecting the renal vein. B, Ex vivo repair, where an ellipse of vena cava containing the renal vein origin is excised to aid in exposure. C, Syndactilization, or combining, of segmental branches and creation of the distal anastomosis. A proximal branch is sewn to the graft separately. D, Completed reconstruction.

  • Image Result
    Product-limit estimates of primary patency (blue) and primary-assisted patency (red) in 68 arteries. The standard error of the estimate never exceeds 10%.

    Product-limit estimates of primary patency (blue) and primary-assisted patency (red) in 68 arteries. The standard error of the estimate never exceeds 10%.

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

 CME article

PII: S0741-5214(07)00639-8

doi: 10.1016/j.jvs.2007.04.036

Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 405-412.e2 , September 2007

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