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The emergency in situ preservation of kidneys for transplantation.

Authors
  • Vroemen, J P
  • van der Vliet, J A
  • Kootstra, G
Type
Published Article
Journal
The Netherlands journal of surgery
Publication Date
May 01, 1983
Volume
35
Issue
2
Pages
55–60
Identifiers
PMID: 6346138
Source
Medline
License
Unknown

Abstract

It is current practice to only consider heart-beating donors as suitable for organ donation. Patients who have sustained a permanent cardiac arrest are believed to be unsuitable for kidney retrieval, in the knowledge that the kidneys will have received extensive ischemic damage. In situ kidney preservation (ISP), using the double balloon triple lumen (DBTL) catheter, offers the possibility of harvesting valuable kidneys from these, otherwise unsuitable, donors. With this technique human kidneys can be cooled in situ prior to the donor nephrectomy. During ISP, nephrectomy can be performed under optimal surgical conditions. In this report indications for ISP, insertion technique of the DBTL catheter, legal aspects, and transplantation outcome of kidneys harvested by means of ISP are discussed.

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