title: Regional extra-corporeal circulation to protect transplanted kidney and pancreas from ischemia during vascular reconstruction.
abstract: The development of severe aorto-ilio-femoral atherosclerotic disease in a patient with a previous double transplantation, kidney and pancreas, is a major surgical challenge. The transplanted organs have to be protected from extensive ischemia during the vascular reconstructive procedure and achieve optimal revascularization. The surgical management of a complex case where regional extra-corporeal circulation was used to protect transplanted pancreas and kidney during aorto-bifemoral vascular grafting in a 39 yr old diabetic patient is described. Regional femoro-femoral extra-corporeal circulation with an oxygenator is a safe technique that allows time for the proximal revascularization, minimizes the warm organ ischemia time and results in preservation of organ function.
authors.affiliation: Clinic of Cardiovascular and Thoracic Surgery, University Hospital, CH-1211 14, Geneva, Switzerland.
authors.forename: Bernard
authors.initials: B
authors.lastname: Faidutti
authors.forename: Marek
authors.initials: M
authors.lastname: Bednarkiewicz
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
authors.forename: Afksendyios
authors.initials: A
authors.lastname: Kalangos
authors.forename: Jan T
authors.initials: JT
authors.lastname: Christenson
mesh_terms: D000328:Adult; D001011:Aorta / Q000503:physiopathology / Q000601:surgery; D001162:Arteriosclerosis Obliterans / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005112:Extracorporeal Circulation / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000503:physiopathology / Q000601:surgery; D007511:Ischemia / Q000150:complications / Q000503:physiopathology / Q000517:prevention & control*; D016030:Kidney Transplantation; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D016035:Pancreas Transplantation; D012086:Reoperation; D013997:Time Factors