<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Meier R</dc:creator>
  <dc:creator>Fournier I</dc:creator>
  <dc:creator>Toso C</dc:creator>
  <dc:creator>Berney T</dc:creator>
  <dc:creator>Bednarkiewicz M</dc:creator>
  <dc:date>2017</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">A 61-year-old man received a living-donor kidney graft for an end-stage renal disease. In the postoperative course, the patient was oliguric and needed dialysis. The postoperative Doppler showed a normal peak systolic velocity and maintained parenchymal perfusion associated with a parvus tardus signal. The patient was operated, and a kinked renal artery was found. To reposition the artery, the distal iliac artery was clamped, sectioned, shortened, and reanastomosed after a 90° axial rotation. This innovative technic allowed restoration of a normal flow in the parenchyma and avoided an additional clamping, cooling, ischemia, and reanastomosis/reperfusion of the graft. Postoperative diuresis immediately raised &gt;100 mL/hr and creatinine durably returned to normal values.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://sonar.ch/global/documents/46697</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.avsg.2017.03.183</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/28479435</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:source>Annals of vascular surgery. - 2017</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Anastomosis, Surgical</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Computed Tomography Angiography</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Delayed Graft Function</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Kidney Transplantation</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Living Donors</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Male</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Middle Aged</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Renal Artery</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Renal Circulation</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Reoperation</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Treatment Outcome</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">Vascular Diseases</dc:subject>
  <dc:title xmlns:ns14="xml" ns14:lang="en">Surgical Repair of a Living-Donor Kidney Graft Artery Kink by a Postanastomotic External Iliac Artery Rotation and Reanastomosis.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>