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Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging

The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate...

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Autores principales: Jeong, Euicheol C., Hwang, Seung Hwan, Eo, Su Rak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447535/
https://www.ncbi.nlm.nih.gov/pubmed/28573100
http://dx.doi.org/10.5999/aps.2017.44.3.238
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author Jeong, Euicheol C.
Hwang, Seung Hwan
Eo, Su Rak
author_facet Jeong, Euicheol C.
Hwang, Seung Hwan
Eo, Su Rak
author_sort Jeong, Euicheol C.
collection PubMed
description The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as ‘supercharging’ and ‘turbocharging,’ have been introduced to ensure vascular perfusion in the transferred flap. Supercharging uses a distant source of the vessels, while turbocharging uses vascular sources within the same flap territory. These technical concepts can also be applied in renal transplantation, and in this report, we describe 2 patients who underwent procedures using supercharging and turbocharging. In one case, the ipsilateral deep inferior epigastric artery was transposed to the accessory renal artery (supercharging), and in the other case, the accessory renal artery was anastomosed to the corresponding main renal artery with a vascular graft (turbocharging). The transplanted kidneys showed good perfusion and proper function. No cases of renal failure, hypertension, rejection, or urologic complications were observed. These microsurgical techniques can be safely utilized for renal transplantation with donor kidneys that have multiple arteries with a lower complication rate and better outcome.
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spelling pubmed-54475352017-06-01 Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging Jeong, Euicheol C. Hwang, Seung Hwan Eo, Su Rak Arch Plast Surg Case Report The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as ‘supercharging’ and ‘turbocharging,’ have been introduced to ensure vascular perfusion in the transferred flap. Supercharging uses a distant source of the vessels, while turbocharging uses vascular sources within the same flap territory. These technical concepts can also be applied in renal transplantation, and in this report, we describe 2 patients who underwent procedures using supercharging and turbocharging. In one case, the ipsilateral deep inferior epigastric artery was transposed to the accessory renal artery (supercharging), and in the other case, the accessory renal artery was anastomosed to the corresponding main renal artery with a vascular graft (turbocharging). The transplanted kidneys showed good perfusion and proper function. No cases of renal failure, hypertension, rejection, or urologic complications were observed. These microsurgical techniques can be safely utilized for renal transplantation with donor kidneys that have multiple arteries with a lower complication rate and better outcome. The Korean Society of Plastic and Reconstructive Surgeons 2017-05 2017-05-22 /pmc/articles/PMC5447535/ /pubmed/28573100 http://dx.doi.org/10.5999/aps.2017.44.3.238 Text en Copyright © 2017 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jeong, Euicheol C.
Hwang, Seung Hwan
Eo, Su Rak
Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title_full Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title_fullStr Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title_full_unstemmed Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title_short Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging
title_sort vascular augmentation in renal transplantation: supercharging and turbocharging
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447535/
https://www.ncbi.nlm.nih.gov/pubmed/28573100
http://dx.doi.org/10.5999/aps.2017.44.3.238
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