TY  - CHAP
M1  - Book, Section
TI  - Molmenti Tourniquet for Heavily Calcified Vessels
A1  - Miyara, Santiago J
A1  - McCann-Molmenti, Alexia
A1  - Guevara, Sara
A1  - Vemuri, Anshul
A1  - Krishnasastry, Kambhampathy
A1  - Molmenti, Ernesto P
A2  - Molmenti, Ernesto Pompeo
PY  - 2023
T2  - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
AB  - In  instances  where  the  recipient  vessels  are  calcified  almost  circumferentially,  we  have  observed  that  placing  a  tourniquet  with  a  sponge  (or  another  soft  adaptable  object  such  as  gel  or  silicone)  at  the  site  with  no  calcifications  allows  for  a  less  traumatic  occlusion.As  shown  in  the  diagrams  and  operative  pictures,  the  sponge  (or  other  soft  object)  adapts  to  the  internal  contour  of  the  vessel.  Although  this  modified  tourniquet  may  not  always  be  completely  occlusive,  any  additional  clamps  that  may  be  placed  do  not  need  to  be  tightened  as  much,  decreasing  the  incidence  of  potential  complications  such  as  occlusion,  dissection,  and  distal  embolization.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1194189453
ER  -