Abstract
It is very important for cadavor kidney transplantation in Japan to prevent warm ischemia after cardiac arrest. In this experiment, four different intra-arterial irrigation methods were performed, and their cooling efficiency was comparted to each other. The best method was the selective kidney irrigation, using 3-lumen, double balloon catheter (3L-DBL). But the pressure between the two balloons was increased gradually about 30 minutes after irrigation was initiated because of the intracellular edema. Therefore it is desirable to deflate the lower balloon of the 3L-DBC and utilize an assistant cooling method. Continuous gastric cooling using balloon catheter was thought to be the best subsidiary method.
