PMC5447376_01
The Doppler ultrasound showing increased size of the graft and reverse diastole flow in segment artery. B. Doppler ultrasound showing the presence of diastole in segmental artery and resistance index of 0.81.
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The patient in the 10 postoperative presented with severe abdominal pain, hematuria, oliguria and ultrasound showing reverse diastole in segmental arteries with absence of venous flow (Fig. 1A). We performed a postoperatively ultrasound showing a reduction in RI values and the presence of venous flow (Fig. 1B).
Pictures showing the intraoperative renal artery clamped and cannulated with Abocath 14 made perfusion with Euro-Collins (A). Thrombus output by renal vein and the complete removal of thrombi (B). The renal reperfusion after remove the venous thrombi and released the arterial clamp (C).
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We performed infusion with Euro-Collins solution at 4  by renal artery resulting in output vein thrombi (Fig. 2A). Perfusion was performed until the total bleaching of the thrombus and appearance of homogeneous kidney perfusion with approximately 1000 ml of infusion solution (Fig. 2B). After we perform the suture of the renal vein and reperfused the graft with satisfactory final aspect (Fig. 2C).