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Inferior mesenteric to renal artery transposition for revascularization of a solitary functioning kidney.

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.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Silvestro M,Domanin M,Floriani M,Gabrielli L

doi

10.1016/j.avsg.2015.03.051

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1321.e5-8

issue

6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(15)00407-0

journal_volume

29

pub_type

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