An alternative tool for intraoperative assessment of renal vasculature after revascularization of a transplanted kidney.

Intraoperative assessment of flow in the renal artery and vein after reconstruction is a crucial matter in kidney transplantation. Conventional Doppler ultrasound detects blood flow only in a limited area. The authors report a newly developed device that noninvasively visualizes the condition of perfusion of an entire allograft at one time from any angle and also clearly detects the state of anastomosis of the renal vessels. This near-infrared camera system provides the opportunity for the intraoperative assessment of the vasculature of renal allografts.

[1]  H. Konno,et al.  Quantitative lymph imaging for assessment of lymph function using indocyanine green fluorescence lymphography. , 2008, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[2]  M. Makuuchi,et al.  Comparison of the outcomes between an anatomical subsegmentectomy and a non-anatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey. , 2008, Surgery.

[3]  M. Kikuchi,et al.  Detection of Skin Perforators by Indocyanine Green Fluorescence Nearly Infrared Angiography , 2008, Plastic and reconstructive surgery.

[4]  Mitsuharu Miwa,et al.  Fluorescence navigation with indocyanine green for detecting sentinel lymph nodes in breast cancer , 2005, Breast cancer.

[5]  I Nakajima,et al.  An intraoperative fluorescent imaging system in organ transplantation. , 2004, Transplantation proceedings.

[6]  Mitsugi Shimoda,et al.  Intraoperative assessment of reconstructed vessels in living-donor liver transplantation, using a novel fluorescence imaging technique. , 2006, Journal of hepato-biliary-pancreatic surgery.

[7]  R. Speich,et al.  Anaphylactoid reactions after indocyanine-green administration. , 1988, Annals of internal medicine.

[8]  M. Pagala,et al.  Rhabdomyolysis related to cocaine abuse. , 1988, Annals of internal medicine.

[9]  H. Holm,et al.  Perioperative Doppler ultrasonography: renal detection of renal graft perfusion. , 1998, Scandinavian Journal of Urology and Nephrology.

[10]  K. Taylor,et al.  Vascular complications in renal allografts: detection with duplex Doppler US. , 1987, Radiology.

[11]  G. Baxter Ultrasound of renal transplantation. , 2001, Clinical radiology.