title: Thoracic aortic cannulation with antegrade perfusion for the procurement of abdominal organs.
abstract: The definitive acceptance of an organ as valid for transplant depends on the surgical team performing the multiorgan recovery; and unexpected difficulties can occur. The demographic characteristics of donors has changed, and some accepted donors can present difficulties in surgical technique and risky decisions on the validity of the retrieved organ or organs. An alternative method to the cannulation of the abdominal aorta is proposed when there is evidence of disease in the infrarenal aorta during the multiorgan procurement. The retrocardiac descending thoracic aorta is cannulated using an antegrade perfusion; this technique allows an increase in organ recovery.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España. Electronic address: fran.padroso@gmail.com.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: González Rodríguez
authors.affiliation: Unidad de Trasplante Abdominal, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Aquilino
authors.initials: A
authors.lastname: Fernández Pérez
authors.affiliation: Unidad de Trasplante Abdominal, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Rogelio
authors.initials: R
authors.lastname: Conde Freire
authors.affiliation: Unidad de Trasplante Abdominal, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Jorge
authors.initials: J
authors.lastname: Martínez
authors.affiliation: Unidad de Trasplante Abdominal, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Evaristo Varo
authors.initials: EV
authors.lastname: Pérez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Bustamante Montalvo
mesh_terms: D034841:Abdominal Cavity; D001013:Aorta, Thoracic; D002404:Catheterization; D006801:Humans; D010477:Perfusion / Q000379:methods; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: Aortic cannulation; Ateroesclerosis; Atherosclerosis; Canulación aórtica; Extracción multiorgánica; Multiorganic procurement