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Chimney-Patch Arterial Graft in Kidney or Pancreas Transplantation for Recipients with Heavily Calcified Iliac Arteries. Ann Transplant 2019 Feb 07;24:70-74

Date

02/08/2019

Pubmed ID

30728343

Pubmed Central ID

PMC6378857

DOI

10.12659/AOT.912744

Scopus ID

2-s2.0-85061124437 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

Iliac artery calcification is a common phenomenon complicating renal transplantation, particularly in those with diabetes. The potential for vascular clamp injury can threaten the renal allograft, ipsilateral lower extremity, or both. Utilization of internal balloon occlusion can allow for placement of a "Chimney Patch" graft, fashioned from a deceased donor artery, to the calcified vessel, eliminating the risk of clamp injury and minimizing warm ischemic time. We present a series of 6 patients transplanted with internal balloon occlusion with successful renal and pancreatic allograft function and no ipsilateral vascular complications. Internal balloon occlusion is a safe and effective adjunct for renal or pancreas transplant to prevent clamp injury with no adverse effect on allograft function.

Author List

Nezakatgoo N, Hendrick LE, Mesh CL, Vanatta JM, Helmick RA

Author

Ryan Helmick MD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Female
Humans
Iliac Artery
Kidney Transplantation
Male
Middle Aged
Pancreas Transplantation
Treatment Outcome
Vascular Calcification
Vascular Grafting