Inferior mesenteric to renal artery transposition for revascularization of a solitary functioning kidney.
Ann Vasc Surg
; 29(6): 1321.e5-8, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-26072720
ABSTRACT
The aim of this article is to describe a new open surgical technique for revascularization of renal arteries. Several interventions for surgical revascularization of renal arteries have been proposed. We suggest to perform an alternative technique if the described inflow vessels are not suitable because of severe atherosclerosis or calcifications. A 76-year-old woman with a solitary functioning kidney and a subocclusive renal artery stenosis presented at our institution with renovascular hypertension and chronic kidney disease. After a failed percutaneous renal angioplasty attempt, we successfully treated the patient with an end-to-end inferior mesenteric to renal artery transposition. Other described techniques for revascularization of renal arteries were not suitable in this case, as commonly used inflow vessels were severely calcified. Although further studies are needed to better investigate the safety and effectiveness, this technique is simple and affordable, and it could be considered a valid alternative approach in selected patients, if other proposed interventions are not feasible. To the best of our knowledge, this is the first reported case with this kind of surgical reconstruction.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artéria Renal
/
Obstrução da Artéria Renal
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Artéria Mesentérica Inferior
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Procedimentos de Cirurgia Plástica
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Hipertensão Renovascular
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article