CASE 08: Implantation of Double Renal Arteries – Technical Variation

In this instance of a live donor kidney, the main renal artery had an early bifurcation. As shown in the image and the diagram, after procurement the two branches (yellow and green arrows) remained joined by a small bridge.

We implanted both transplant renal arteries onto the recipient external iliac artery without performing a reconstruction. When performing such implantation it is necessary to verify that there is adequate hemostasis in the area adjacent to the small bridge in between both arteries, and that no stenosis has been caused when achieving this.