Coachmen Operation

Kucher, The operation named after Dr. Kucher is a two-stage intervention in the area of ​​extrarenal hypertension of the renal arteries. Until now, there has been no radical treatment for renal artery stenosis. The operation named after K.K. Kucher consists of resection of stenotic interscapular segments of the renal artery and its revascularization with the direct branch of the bifurcation of the opposite renal artery. The arterial wound was usually sutured with a hardware suture, for example "anastyle".

Algorithm:

1. Anesthesia. 2. Under ultrasound control, a puncture of the right or left lumbar artery is performed under ultrasound guidance, and both the right and left vascular poles of the kidney are punctured; control is carried out on the pulse within the framework of body temperature. 3. Combine two percutaneous catheters: one in the right pole, the other in the left;