{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:44:36Z","timestamp":1740109476453,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Angiol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Organ transplantation can be associated with vascular torsions and angulations of both recipient and donor vessels. Such kinks and\/or torsions of vessels can compromise the vascular integrity, obstruct inflow and\/or outflow, and result in loss of the organ and\/or body parts. On many occasions, mild angulations and torsions can be successfully addressed by repositioning the organ. In cases where the abnormal findings persist, maneuvers such as placing a fat pad to create a smoother curve, or even opening the peritoneum (in the case of kidney transplants) to allow for a better positioning of the organ, are associated with successful outcomes. When such torsions\/angulations persist despite these approaches, further innovative tactics are required. In the current report, we propose a technique that involves longitudinally opening of a synthetic graft that is rigid enough to maintain its shape, such as a ringed polytetrafluoroethylene graft, and placing it as an external stent around the angulated\/torsioned vessel. This maneuver will correct the underlying vascular compromise without having to perform any further invasive interventions, such as reimplanting the organ or resecting part of the involved vessel. Although primarily illustrated for application by describing an instance in which exostenting was applied during kidney transplantation, our approach could be applied to any vessel under many circumstances where angulations\/twists are encountered. In this report, we describe the use of an external stent, also called exostenting, to correct a severe torsion\/angulation of the external iliac artery in a kidney transplant recipient where all other measures were unsuccessful.<\/jats:p>","DOI":"10.1055\/s-0041-1727132","type":"journal-article","created":{"date-parts":[[2021,5,23]],"date-time":"2021-05-23T22:43:20Z","timestamp":1621809800000},"page":"128-130","source":"Crossref","is-referenced-by-count":0,"title":["External Stenting (Exostenting) to Correct Vascular Torsion and Angulation"],"prefix":"10.1055","volume":"32","author":[{"suffix":"Jr","given":"Michael B.","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch (UTMB), Galveston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Shoaib","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York"},{"name":"The Feinstein Institutes for Medical Research, Manhasset, New York"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Hempstead, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8890-8034","authenticated-orcid":false,"given":"Santiago J.","family":"Miyara","sequence":"additional","affiliation":[{"name":"The Feinstein Institutes for Medical Research, Manhasset, New York"},{"name":"Elmezzi Graduate School of Molecular Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Guevara","sequence":"additional","affiliation":[{"name":"Department of Surgery, North Shore University Hospital, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"McCann-Molmenti","sequence":"additional","affiliation":[{"name":"Department of Surgery, North Shore University Hospital, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Colleen","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch (UTMB), Galveston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"Watt","sequence":"additional","affiliation":[{"name":"University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanos","family":"Zafeiropoulos","sequence":"additional","affiliation":[{"name":"The Feinstein Institutes for Medical Research, Manhasset, New York"},{"name":"Elmezzi Graduate School of Molecular Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Hayashida","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York"},{"name":"The Feinstein Institutes for Medical Research, Manhasset, New 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Manhasset, New York"},{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Hempstead, New York"},{"name":"Elmezzi Graduate School of Molecular Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Cicalese","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch (UTMB), Galveston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel I.","family":"Aranalde","sequence":"additional","affiliation":[{"name":"Department of Surgery, North Shore University Hospital, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Covelli","sequence":"additional","affiliation":[{"name":"School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lance 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