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Case Reports
. 1999 Mar;161(3):891-2.

Transplant kidney protection during aortic aneurysm surgery

K N Chacko  1 , S Ninan, C K Jacob, R Korula
Affiliations
  • PMID: 10022707
Case Reports

Transplant kidney protection during aortic aneurysm surgery

K N Chacko et al. J Urol. 1999 Mar.

Abstract

Purpose: Renal allografts are sensitive to ischemic insult. During aortic cross clamping prevention of ischemic damage to a kidney below an aneurysm is vital. Many maneuvers have been reported. We describe a simple technique of protecting the transplant kidney from ischemic damage during aortic surgery.

Materials and methods: During vascular cross clamping a sterile ice slush was placed around the kidney for surface cooling, obviating the need for some of the complicated procedures previously reported.

Results: After removal of the ice slush and clamps, urine production resumed and creatinine levels remained unchanged.

Conclusions: External cooling with ice slush provides adequate renal protection during aortic cross clamping and requires no special expertise or equipment.

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