A Carrel patch technique for renal transplantation in cats

作者：Budgeon Casey; Hardie Robert J; McAnulty Jonathan F^*

来源：Veterinary Surgery, 2017, 46(8): 1139-1144.

DOI：10.1111/vsu.12705

Objective: To evaluate the feasibility of a Carrel patch method in feline renal transplantation.
Study design: Descriptive case series.
Animals: Nine healthy donor cats and 9 client recipient cats with chronic renal failure.
Methods: Renal transplantation was performed in 9 cats with chronic renal failure after collection of a donor's left kidney with a Carrel patch technique. A patch of donor aortic wall was removed with either 2 or 1 renal artery (ies) (n = 1 and 8 cats, respectively) central to the patch, with a cuff of tissue (<= 1 mm) protruding from the base of the vessels. The Carrel patch was implanted in recipient cats with an end-toside artery-to-aorta anastomosis, in a simple-continuous pattern of 9-0 nylon. The renal vein and ureter were implanted as previously described.
Results: All donors and recipients survived surgery without vascular complication.
Conclusion: The Carrel patch is a novel approach allowing the harvest of kidneys with multiple renal arteries. The technique also simplified the implant procedure, potentially decreasing the risks of bleeding and thrombosis.

• 出版日期2017-11