Short segment aortic endarterectomy--a technique to aid cannulation in donors with severe aorto-iliac disease

Clin Transplant. 2011 Mar-Apr;25(2):E219-22. doi: 10.1111/j.1399-0012.2010.01394.x. Epub 2011 Mar 7.

Abstract

Cannulation of the abdominal aorta in older donors with advanced atherosclerotic disease is challenging and may lead to dissection or plaque embolization. We describe a different technique, short segment aortic endarterectomy, which can be a useful alternative during organ procurement. It permits safer cannulation and securing of atherosclerotic infrarenal aortas, thereby allowing us to flush and safely use organs that otherwise would have been discarded.

MeSH terms

  • Adult
  • Aged
  • Aortic Diseases / surgery*
  • Catheterization*
  • Female
  • Humans
  • Iliac Artery / surgery*
  • Liver Transplantation*
  • Male
  • Middle Aged
  • Tissue Donors*
  • Tissue and Organ Procurement*