TY - CHAP M1 - Book, Section TI - Aortic Cannulation in Donors with Distal Aortic and Inferior Vena Cava Pathologies and/or Injuries A1 - Molmenti, Ernesto P A1 - McCann-Molmenti, Alexia A1 - Molmenti, Hebe A1 - Sardo Molmenti, Christine L A1 - Miyara, Santiago J A1 - Guevara, Sara A1 - Santibañes, Martin de A1 - Cagliani, Joaquin A A1 - Sotiropoulos, Georgios C A1 - Radtke, Arnold A1 - Sgourakis, Georgios A1 - Bassan, Pablo César A1 - Bizzotto, Sabina Figari A1 - Morales, Luis Fernando A1 - Nicastro, Jeffrey M A1 - Coppa, Gene F A1 - Rilo, Horacio A1 - Santibañes, Eduardo de A2 - Molmenti, Ernesto Pompeo Y1 - 2023 N1 - T2 - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e AB - In these instances, cannulation of the distal aorta for perfusion with preservation fluid may not be possible or can lead to potential complications such as emboli, dissections, and/or inadequate flushing.Both approaches discussed here entail cannulation of the aorta for an antegrade perfusion with preservation fluid, as opposed to the routine retrograde perfusion encountered with cannulation of the distal aorta with backflushing.Antegrade perfusion requires that flushing with preservation fluid be performed at the time of cannulation, since otherwise the organs will become both ischemic and nonperfused. It is also very important to avoid air emboli.In both instances, the variation in technique applies only to the initiation of perfusion of the organs. Once perfusion is achieved, the routine procurement steps are followed.Coordination with other procuring teams is essential. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/18 UR - accesssurgery.mhmedical.com/content.aspx?aid=1194180506 ER -