The second short-term warm ischemia after vascular anastomosis did not affect early renal function recovery in renal transplantation: a case report

doi:10.1007/s11684-012-0211-9

Front Med

2012, Vol. 6

Issue (3) : 329-331 https://doi.org/10.1007/s11684-012-0211-9

CASE REPORT

The second short-term warm ischemia after vascular anastomosis did not affect early renal function recovery in renal transplantation: a case report

Tao Qiu, Jiangqiao Zhou(

), Xiuheng Liu, Minghuan Ge, Zhiyuan Chen

Department of Urology, Renmin Hospital of Wuhan University, Wuhan University, Wuhan 430060, China

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Abstract

Ischemic postconditioning was defined as rapid intermittent interruptions of blood ?ow in the early phase of reperfusion, which has been found to be protective against renal ischemia-reperfusion injury (IRI) in animal models but not in clinical trials. We describe a case that the allograft renal vein was twisted because of the surgeon’s mistake, which caused the warm ischemia of allograft after reperfusion. The allograft restored blood flow without second reperfusion and cold preservation after 9 min of warm ischemia. The patient was followed up for 3 months and the allograft worked well without complications.

Keywords renal transplantation vein twist ischemia-reperfusion injury

Corresponding Author(s): Zhou Jiangqiao,Email:mdzhoujq@yahoo.cn

Issue Date: 05 September 2012

Cite this article:

Tao Qiu,Jiangqiao Zhou,Xiuheng Liu, et al. The second short-term warm ischemia after vascular anastomosis did not affect early renal function recovery in renal transplantation: a case report[J]. Front Med, 2012, 6(3): 329-331.

URL:

https://academic.hep.com.cn/fmd/EN/10.1007/s11684-012-0211-9
https://academic.hep.com.cn/fmd/EN/Y2012/V6/I3/329

Fig.1 The allograft underwent the second warm ischemia for 9 min during this process. (A) Renal vein was twisted at the distal end of the vessel. (B) Renal vein was twisted at the proximal end of the vessel. (C) Renal vein was re-anastomosed end-to-side to the right external iliac vein in the original position.

Fig.2 The allograft function returned normal and was maintained at a stable level. In our hospital, the normal range of Scr is 54-133 μmol/L and BUN is 1.8-7.7 mmol/L. (A) The Scr level was shown from the pre-operation to 90 days post-operation. (B) The BUN level was shown from the pre-operation to 90 days post-operation.

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