Andreas Paul
Germany
Case Report
Long Term Success of Kidney Transplantation after Triple Cold and Triple Warm Ischemic Time
Author(s): Arzu Oezcelik, Gernot M Kaiser, Stefan Becker and Andreas PaulArzu Oezcelik, Gernot M Kaiser, Stefan Becker and Andreas Paul
The number of elderly and multi-morbid patients on the list for kidney transplantation has increased rapidly over the past decade. The presented case is about a 64-year old patient, suffering from chronic kidney disease due to benign nephrosclerosis. After eight years on list for kidney transplantation, a 43-year old deceased donor was accepted and the patient was assigned for kidney transplantation. Intraoperatively the kidney transplantation turned out to be unexpectedly challenging due to severe arteriosclerosis of the recipient iliac vessels while the donor graft quality was excellent. The kidney transplantation was stopped after the second attempt due to repeated intima dissection of the iliac artery. The kidney graft was reperfused with UW-solution after each attempt. After the second attempt the flow of the iliac vessels was co.. View More»
