Early Graft Dysfunction Following Kidney Transplantation: Can Thermographic Imaging Play a Predictive Role?

IF 1.1 Q3 ANESTHESIOLOGY Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2021-09-01 Epub Date: 2021-04-12 DOI:10.1177/10892532211007270
Vittorio Cherchi, Umberto Baccarani, Luigi Vetrugno, Riccardo Pravisani, Tiziana Bove, Francesco Meroi, Giovanni Terrosu, Gian Luigi Adani
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引用次数: 2

Abstract

The shortage of organs and the growing need for them over recent years have led to the adoption of less stringent donor acceptance criteria, resulting in the approval of marginal organs for transplant, especially from elderly donors. This implies a higher risk of graft dysfunction, a higher frequency of immunological and vascular complications, and shorter graft survival. Several strategies have been implemented in clinical practice to assess graft quality and suitability for transplantation. We have started to test the prospective intraoperative use of thermo-vision cameras during graft reperfusion. Images were acquired using the FLIR One Pro thermo-vision camera for android devices. We hypothesized that thermal images would give a better perspective about the quality of arterial perfusion and graft revascularization of the renal cortex. Thermo-vision cameras provide an easy-to-use, noninvasive, cost-effective tool for the global assessment of kidney graft cortical microcirculation in the immediate post-reperfusion period, providing additional data on the immediate viability and function of a graft.

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肾移植后早期移植物功能障碍:热成像能起到预测作用吗?
器官短缺和近年来对器官的需求日益增长,导致采用了不那么严格的供体接受标准,从而批准了边缘器官的移植,特别是来自老年供体的移植。这意味着移植物功能障碍的风险更高,免疫和血管并发症的频率更高,移植物存活时间更短。在临床实践中已经实施了几种策略来评估移植物的质量和移植的适宜性。我们已经开始在移植物再灌注过程中测试热视觉摄像机在术中应用的前景。图像采集使用FLIR One Pro热视觉相机用于android设备。我们假设热图像可以更好地了解肾皮质动脉灌注和移植物血运重建的质量。热视觉摄像机提供了一种易于使用、无创、成本效益高的工具,用于在再灌注后立即全面评估肾移植物皮质微循环,为移植物的即时生存能力和功能提供了额外的数据。
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CiteScore
3.60
自引率
14.30%
发文量
31
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