title: Rescue of kidney and pancreas grafts with complex vascular lesions.
abstract: BACKGROUND
  The organ shortage mandates that grafts with complex vascular lesions be considered for graft rescue.
  
  
  METHODS
  Surgical graft rescue was attempted in 8 patients bearing 8 kidneys and 2 pancreata that showed complex vascular lesions deemed not suitable for interventional radiology procedures.
  
  
  RESULTS
  All procedures but 1 were performed under elective conditions. Seven grafts were repaired in situ, while cooling the organ through retrograde venous perfusion, and 3 kidneys were explanted, repaired extracorporeally, and retransplanted. All vascular reconstructions remain patent after a mean follow-up period of 3.3 years (+/-2.1 years).
  
  
  CONCLUSIONS
  Careful patient selection, multidisciplinary evaluation, and personalized surgical technique may allow the rescue of kidney and pancreas grafts with complex vascular lesions that, otherwise, would be lost.
authors.affiliation: Divisione di Chirurgia Generale e Trapianti Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
authors.forename: U
authors.initials: U
authors.lastname: Boggi
authors.forename: M
authors.initials: M
authors.lastname: Ferrari
authors.forename: F
authors.initials: F
authors.lastname: Vistoli
authors.forename: F
authors.initials: F
authors.lastname: Sgambelluri
authors.forename: C
authors.initials: C
authors.lastname: Vignali
authors.forename: R
authors.initials: R
authors.lastname: Cioni
authors.forename: P
authors.initials: P
authors.lastname: Petruzzi
authors.forename: M
authors.initials: M
authors.lastname: Del Chiaro
authors.forename: R
authors.initials: R
authors.lastname: Berchiolli
authors.forename: S
authors.initials: S
authors.lastname: Signori
authors.forename: L
authors.initials: L
authors.lastname: Coletti
authors.forename: F
authors.initials: F
authors.lastname: Gremmo
authors.forename: G
authors.initials: G
authors.lastname: Rizzo
authors.forename: F
authors.initials: F
authors.lastname: Mosca
mesh_terms: D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D016035:Pancreas Transplantation / Q000009:adverse effects*; D012079:Renal Circulation; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*