By Anders Hartmann, Per Fauchald (auth.), Inge B. Brekke MD, PhD, Audun Flatmark MD, PhD (eds.)
The topic of this publication is salvage of kidney functionality in sufferers with numerous surgically correctable issues affecting one or either kidneys. Preoperative work-up, and surgical and postoperative administration are defined intimately. the point of interest is on equipment of bench surgical procedure and next autotransplantation of the kidney(s) in addition to the applicability and perfect result of those methods. a few of the thoughts are good illustrated by way of drawings and X-rays. Physicians of a few of the disciplines will examine that renal autotransplantation could be thought of in sufferers struggling with renovascular high blood pressure, renal melanoma, and complex urinary calculous illness, or different advanced renal/ureteral issues: for instance, extracorporeal surgical procedure and autotransplantation deals optimum stipulations for renovascular reconstruction. The process offers very good long term ends up in the remedy of recurrent nephrolithiasis and ureteral lesions, and represents a legitimate replacement to nephrectomy and dialysis therapy in sufferers with renal carcinoma.
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Extra info for Extracorporeal Renal Surgery and Autotransplantation
Example text
The risk of renal failure is related to the volume used. Nevertheless, there should be an adequate number of projections for a complete examination. The risk of renal deterioration is increased in all kinds of nephropathies and in dehydrated patients. Good hydration is important in all patients referred for angiography in order to reduce the nephrotoxic effects of the contrast media. Low osmolar contrast media, such as the nonionic contrast media, affect renal function to a very limited extent (Barrett and Carlisle 1993).
Fortschr Rontgenstr 158:74-75 Schwerk WB, Restrepo IK, Stellwaag M, et al. (1994) Renal artery stenosis: grading with image-directed Doppler US. Evaluation of renal resistive index. Radiology 190: 780-790 Smith HJ, Bakke SJ (1993) MR angiography of in situ and transplanted renal arteries. Acta Radiol 34:150-155 Snider JF, Hunter DW, Moradian GP, et al. (1989) Transplant renal artery stenosis: evaluation with duplex sonography. Radiology 172:1027-1030 Soulen MC (1994) Renal angioplasty: underutilized or overvalued?
Renovascular DiseasePercutaneous Transluminal Renal Angioplasty A 33 B Fig. 14A,B. Balloon angioplasty of a stenosis in the right renal artery (~), before (A) and after (B) balloon dilatation. The patient had previously been successfully treated with autotransplantation of the left kidney for renal artery stenosis. , the femoral artery is punctured on the contralateral side to the transplanted kidney (Fig. 16). Ipsilateral puncture complicates selective catheterization because of the sharp angle between the external and the internal iliac arteries or between the external iliac and the renal artery.