Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ For both live and deceased donors, we routinely implant right kidney grafts without performing a venous reconstruction. As shown in the diagrams below, we transpose the external iliac vessels after mobilizing them. This allows us to anastomose the short right renal vein onto the external iliac vein that is now lateral with respect to the external iliac artery. The renal artery is then anastomosed onto the recipient transposed external iliac artery, that is easily approachable. We also routinely perform a transposition of the iliac vessels for the implantation of left kidneys, since this arrangement prevents the crossing over of the renal vein with respect to the iliac vein and a better visualization of the iliac artery at the time of anastomosis with the renal artery. ++ FIGURE 112-52 In instances of deceased donors, we leave a circular patch of donor IVC attached to the renal vein. Since the right renal vein is usually very thin and friable, this IVC patch provides a better and safer tissue for the construction of the anastomosis with the recipient iliac vein. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-53 The external iliac artery and vein are mobilized. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-54 The external iliac vessels are transposed, bringing the external iliac vein lateral with respect to the external iliac artery. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-55 View of the implanted kidney Graphic Jump LocationView Full Size||Download Slide (.ppt) Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth