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Effectiveness of Thermal Barrier Bag for Prolonged Vascular Anastomosis in Kidney Transplantation by Kentaro Ide; Hiroshi Sakai; Ryosuke Nakano; Yuki Imaoka; Naoki Tanimine; Ryuta Ide; Naofumi Tsukiyama; Kosuke Ono; Tetsuya Mochizuki; Ryosuke Arata; Keishi Hakoda; Koki Imaoka; Sotaro Fukuhara; Tomoaki Bekki; Hiroyuki Tahara; Masahiro Ohira; Eiji Kobayashi; Hideki Ohdan is a Medicine article available to read on EtoBox.
What is Effectiveness of Thermal Barrier Bag for Prolonged Vascular Anastomosis in Kidney Transplantation about?
Background In kidney transplantation (KT), efforts to minimize rewarming and optimize anastomosis time during vascular anastomosis improve graft outcomes. We recently reported the safety and efficacy of a pouch-type thermal barrier bag (TBB) made of elastomer gel to reduce second-warm ischemic injury during vascular anastomosis. We aimed to examine the usefulness of the TBB in prolonged vascular anastomosis in KT performed by young transplant fellows. Methods Young transplant fellows performed KT under the supervision of certified transplant surgeons. The kidney graft was placed inside the TBB with an outlet for vessels and preserved during vascular anastomosis. A non-contact infrared thermometer measured the graft surface temperature before and after vascular anastomosis. After completion of the anastomosis, the TBB was manually slid out of the transplanted kidney and removed before graft reperfusion. Clinical data, including patient characteristics and perioperative variables, were collected. The primary endpoint was the median graft surface temperature at the end of the anastomosis. Results Ten living-donor kidney transplant recipients with a median age of 56.5 years (range, 40–
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- Author
- Kentaro Ide; Hiroshi Sakai; Ryosuke Nakano; Yuki Imaoka; Naoki Tanimine; Ryuta Ide; Naofumi Tsukiyama; Kosuke Ono; Tetsuya Mochizuki; Ryosuke Arata; Keishi Hakoda; Koki Imaoka; Sotaro Fukuhara; Tomoaki Bekki; Hiroyuki Tahara; Masahiro Ohira; Eiji Kobayashi; Hideki Ohdan
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)