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. 2014:2014:563408.
doi: 10.1155/2014/563408. Epub 2014 Aug 10.

Vascular fluorescence imaging control for complex renal artery aneurysm repair using laparoscopic nephrectomy and autotransplantation

Matteo Tozzi  1 , Luigi Boni  2 , Gabriele Soldini  2 , Marco Franchin  2 , Gabriele Piffaretti  3
Affiliations

Vascular fluorescence imaging control for complex renal artery aneurysm repair using laparoscopic nephrectomy and autotransplantation

Matteo Tozzi et al. Case Rep Transplant. 2014.

Abstract

Intraoperative fluorescent imaging using indocyanine green enables vascular surgeons to confirm the location and states of the reconstructed vessels during surgery. Complex renal artery aneurysm repair involving second order branch vessels has been performed with different techniques. We present a case of ex vivo repair and autotransplantation combining the advantages of minimally invasive surgery and indocyanine green enhanced fluorescence imaging to facilitate vascular anatomy recognition and visualization of organ reperfusion.

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Figures

Figure 1
Figure 1
Preoperative 3D volume rendering computed tomography scan (a), with volume rendering 3D reconstruction (b) and angiography (c) showing the 20 mm fusiform aneurysm (arrows, a-b-c) of the secondary inferior branch of the right renal artery.
Figure 2
Figure 2
Intraoperative aspect of the transplanted kidney (a) and visualization of the parenchyma at the time of indocyanine green injection (b) and after the revascularization with real-time fluorescence imaging (c). Follow-up control with magnetic resonance angiography (d).
See this image and copyright information in PMC

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