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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Plastic and Reconstructive Surgeons
2017
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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. |
format | Online Article Text |
id | pubmed-5447535 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
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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