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Ex vivo renal artery reconstruction for complex renal artery disease

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Presentation on theme: "Ex vivo renal artery reconstruction for complex renal artery disease"— Presentation transcript:

1 Ex vivo renal artery reconstruction for complex renal artery disease
Sung Wan Ham, MD, Fred A. Weaver, MD, MMM  Journal of Vascular Surgery  Volume 60, Issue 1, Pages (July 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Exposure of the right kidney and renal vascular pedicle. IVC, Inferior vena cava. (Reprinted with permission from Hood DB, Weaver FA. Orthotopic ex vivo renal artery reconstruction. Am Surg 1994;60:804-8.) Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 The ex vivo right kidney under hypothermic cold preservation. Right renal artery and vein (RV) transected. Note the Fogarty soft jaw clamp placed on the ureter to prevent rewarming of the kidney during cold perfusion. IVC, Inferior vena cava. (Reprinted with permission from Hood DB, Weaver FA. Orthotopic ex vivo renal artery reconstruction. Am Surg 1994;60:804-8.) Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Intraoperative photograph of a left renal artery aneurysm with segmental branch vessel involvement. All segmental branch vessels are individually controlled with Silastic loops. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Intraoperative photograph of an ex vivo renal artery aneurysm repair. Aneurysm repair and branch reconstruction are performed first. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Illustration of a right renal artery aneurysm repair at completion with the kidney replaced in its orthotopic position. IVC, Inferior vena cava; RV, renal vein. (Reprinted with permission from Hood DB, Weaver FA. Orthotopic ex vivo renal artery reconstruction. Am Surg 1994;60:804-8.) Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Patency curve by life-table methods for all interventions. Primary, primary assisted, and secondary patency are shown. Standard error is >10% indicated by standard error bars. Standard error is <10% for all other data points. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

8 Fig 7 Survival curve by life-table methods for all patients. Standard error is <10% for all data points. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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