A Carrel patch technique for renal transplantation in cats. Issue 8 (31st August 2017)

• Record Type: Journal Article
• Authors: Budgeon, Casey; Hardie, Robert J.; McAnulty, Jonathan F.
• Is Part Of: Veterinary surgery. Volume 46:Issue 8(2017)
• Page Start: 1139
• Page End: 1144
• Publication Date: 2017-08-31
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/vsu.12705
• Languages: English
• ISSNs: 0161-3499

Abstract

Abstract: 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‐to‐side 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.