Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
November 1978

Ex Vivo Renal Artery Reconstruction

Author Affiliations

From the Department of Surgery, University of California, San Francisco.

Arch Surg. 1978;113(11):1272-1278. doi:10.1001/archsurg.1978.01370230062007

• Twenty-four patients underwent ex vivo renal artery reconstruction of 26 extensive lesions using continuous hypothermic perfusion and replacement of the diseased renal artery with a hypogastric artery autograft. Postoperative acute tubular necrosis was avoided in these repaired kidneys. There was one postoperative graft occlusion accounting for the only failure in the series. Of the hypertensive patients, 95% were cured or improved during the follow-up period extending from six months to six years. Six of these patients have been followed more than three years and late postoperative arteriograms showed no alteration in their autografts.

This method, therefore, extends the potential for renal artery reconstruction to most renal vascular lesions, reserving nephrectomy for the infarcted or severely atrophic kidney only.

(Arch Surg 113:1272-1278, 1978)