Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Small diameter recipient arteries can become stenotic due to a variety of reasons. One cause is when an aortic hole puncher used to create a round opening for implantation leads to an excessive loss of tissue. In such instances, the stenosis is usually appreciated after the transplant renal artery is already implanted. The stenosis is resolved by incising the dorsal aspect of the stenosed artery (opposite to the site of implantation of the kidney) and augmenting it with a patch (vein from either the donor or the recipient, prosthetic material, bovine pericardium, other). This technique allows for repair of the stenotic area without having to remove and subsequently re-implant the kidney. ++ FIGURE 112-185 Schematic representation of a dorsal oval patch repair of a post-implantation stenosis of the recipient iliac artery. In this representation of one of our cases, the opening in the recipient iliac artery for implantation of the transplant renal artery was created with an aortic hole puncher. Because of the small diameter of the iliac artery, the amount of arterial wall removed by the punch was excessive, leading to a post-implantational stricture of the recipient artery. A dorsal oval venous patch resolved the stenosis. 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