Extracorporeal renal artery repair and autotransplantation

Abstract Seven renal artery lesions in 6 patients have been corrected by extracorporeal repair of the renal artery followed by autotransplantation. Short-term renal presevation was accomplished using readily available perfusion solutions. Six of the seven procedures were technically successful. One of the six technically successful procedures was a functional failure, with the patient ultimately receiving a cadaver kidney transplant. Five of the 6 patients are well and free symptoms, and 1 patient has recurrent disease in branches of the autotransplanted kidney and is again hypertensive.