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July 1957

Renal Revascularization by Splenic Artery Implantation: An Experimental Study

Author Affiliations

Miami, Fla.
Department of Surgery, University of Miami School of Medicine, and Veterans' Administration Hospital, Coral Gables, Fla.

AMA Arch Surg. 1957;75(1):13-16. doi:10.1001/archsurg.1957.01280130017003

The experimental methods of kidney revascularization have focused upon (1) omentorenopexy,1 (2) myorenopexy,2 (3) enterorenopexy,3 and (4) splenorenopexy.4 The technique of Vineberg,5 with direct arterial implantation of a systemic artery into the renal cortex, has not been explored to our knowledge.6 The present study was undertaken to determine the adequacy of the Vineberg principle on the kidney, inasmuch as this organ is more easily studied than either the heart or the liver.7 The ease with which the blood supply of the kidney can be controlled, and function studies performed, makes the kidney the organ of choice in evaluating the effectiveness of arterial implantations for collateral circulation.

Method  Large, healthy dogs were anesthetized with pentobarbital sodium (27 mg. per kilogram of weight). After exploration of the abdomen through a midline incision, the spleen was excised. The stump of the splenic artery was freed of