{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T20:30:22Z","timestamp":1783888222181,"version":"3.55.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":1815,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T00:00:00Z","timestamp":1495411200000},"content-version":"tdm","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as \u2018supercharging\u2019 and \u2018turbocharging,\u2019 have been introduced to ensure vascular perfusion in the transferred flap. Supercharging uses a distant source of the vessels, while turbocharging uses vascular sources within the same flap territory. These technical concepts can also be applied in renal transplantation, and in this report, we describe 2 patients who underwent procedures using supercharging and turbocharging. In one case, the ipsilateral deep inferior epigastric artery was transposed to the accessory renal artery (supercharging), and in the other case, the accessory renal artery was anastomosed to the corresponding main renal artery with a vascular graft (turbocharging). The transplanted kidneys showed good perfusion and proper function. No cases of renal failure, hypertension, rejection, or urologic complications were observed. These microsurgical techniques can be safely utilized for renal transplantation with donor kidneys that have multiple arteries with a lower complication rate and better outcome.<\/jats:p>","DOI":"10.5999\/aps.2017.44.3.238","type":"journal-article","created":{"date-parts":[[2017,5,26]],"date-time":"2017-05-26T10:57:13Z","timestamp":1495796233000},"page":"238-242","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging"],"prefix":"10.1055","volume":"44","author":[{"given":"Euicheol C.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Hwan","family":"Hwang","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University College of Medicine, Ilsan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su Rak","family":"Eo","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University College of Medicine, Ilsan, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.bjps.2011.11.039","article-title":"Effects of short-term venous augmentation on the improvement of flap survival: an experimental study in rats","volume":"65","author":"J Fukushima","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1097\/00006534-199809020-00074","article-title":"Turbocharge or supercharge?","volume":"102","author":"B Civelek","year":"1998","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"325","DOI":"10.2152\/jmi.61.325","article-title":"Limb salvage and vascular augmentation by microsurgical free flap transfer for treatment of neuropathic diabetic foot ulcers","volume":"61","author":"I Hashimoto","year":"2014","journal-title":"J Med Invest"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/micr.22054","article-title":"Does a vascular supercharge improve the clinical outcome for free jejunal transfer?","volume":"33","author":"T Numajiri","year":"2013","journal-title":"Microsurgery"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/00000637-200209000-00003","article-title":"Supercharged pedicled TRAM flap in breast reconstruction: is it a worthwhile procedure","volume":"49","author":"HH El-Mrakby","year":"2002","journal-title":"Ann Plast Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3109\/2000656X.2012.738608","article-title":"Vascular augmentation of an extended latissimus dorsi myocutaneous flap through an intercostal vessel: a preliminary report","volume":"47","author":"S Takagi","year":"2013","journal-title":"J Plast Surg Hand Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/micr.20761","article-title":"Supercharged reverse pedicle anterolateral thigh flap in reconstruction of a massive defect: a case report","volume":"30","author":"E Komorowska-Timek","year":"2010","journal-title":"Microsurgery"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/SAP.0b013e318276d9f1","article-title":"Breast reconstruction with a turbocharged transverse rectus abdominis myocutaneous flap on the contralateral perforator","volume":"73","author":"JC Sbalchiero","year":"2014","journal-title":"Ann Plast Surg"},{"key":"ref9","first-page":"287","article-title":"Morphological variability of the renal artery branching pattern: a brief review and an anatomical study","volume":"53","author":"E Daescu","year":"2012","journal-title":"Rom J Morphol Embryol"},{"key":"ref10","first-page":"101","article-title":"Main and accessory renal arteries: a morphological study","volume":"110","author":"P Dhar","year":"2005","journal-title":"Ital J Anat Embryol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/s00595-004-2967-2","article-title":"Management and outcome of living kidney grafts with multiple arteries","volume":"35","author":"Y Kadotani","year":"2005","journal-title":"Surg Today"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1213\/ANE.0000000000000521","article-title":"Medical and ethical challenges during the first successful human kidney transplantation in 1954 at Peter Bent Brigham Hospital, Boston","volume":"120","author":"S Leeson","year":"2015","journal-title":"Anesth Analg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1053\/j.semvascsurg.2014.06.013","article-title":"Endovascular interventions for managing vascular complication of renal transplantation","volume":"26","author":"NO Glebova","year":"2013","journal-title":"Semin Vasc Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S0890-5096(07)60081-8","article-title":"Congenital anomalies of the external iliac artery: case report and review of the literature","volume":"4","author":"D Tamisier","year":"1990","journal-title":"Ann Vasc Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/00042307-199903000-00011","article-title":"Computed tomographic angiography in the preoperative evaluation of potential renal transplant donors","volume":"9","author":"MA Pozniak","year":"1999","journal-title":"Curr Opin Urol"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.e-aps.org\/upload\/pdf\/aps-44-238.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-aps.org\/journal\/view.php?doi=10.5999\/aps.2017.44.3.238","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2017.44.3.238.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:04:20Z","timestamp":1650499460000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2017.44.3.238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":15,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,4,20]]},"published-print":{"date-parts":[[2017,5]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2017.44.3.238","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]},"assertion":[{"value":"2016-09-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-22","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}