Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ FIGURE 112-292 Recipient with a history of long-standing occlusion of the IVC. Imaging studies showed a patent left external iliac vein with semi-circumferential calcifications along its dorsal area. As seen in this image, the iliac vein was surrounded by fibrotic tissue that increased the complexity of its dissection. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-293 Rather than applying clamps proximally and distally (that would have crushed the venous calcifications, risking embolization and/or thrombosis), it was decided to apply a clamp on the anterior non-calcified area (blue arrow) of the vein. Note the calcified plaque (yellow arrows) visible through the wall of the posterior half of the vein. Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-294 The finalized venous anastomosis (green arrows) can be seen after reperfusion of the kidney. The transplant renal vein is shown with a black arrow. Graphic Jump LocationView Full Size||Download Slide (.ppt) Your Access 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 Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.