TY - CHAP M1 - Book, Section TI - Arterial Twists and Kinks – External Stenting A1 - Miyara, Santiago J A1 - Silva, Michael B A1 - McCann-Molmenti, Alexia A1 - Guevara, Sara A1 - Silva, H Colleen A1 - Cicalese, Luca A1 - Molmenti, Ernesto P A2 - Molmenti, Ernesto Pompeo PY - 2023 T2 - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e AB - We propose this technique (Figures 112-3 and 112-4) for cases where vessels have kinks/twists that compromise flow and do not resolve with other approaches such as placing a buttressing fat pad and/or repositioning the transplanted organ.Our approach (developed by Michael B Silva Jr, MD) entails opening in a longitudinal fashion a ringed PTFE graft (or other type of graft that will retain its shape) and using it as an external stenting support placed around the kinked/twisted vessel.Although in the diagrams we illustrate an external stenting of the iliac artery and of the transplant renal artery, this technique can be applied to any vessel individually.When the stent encompasses the transplant renal artery anastomosis or a branching vessel, an opening in the PTFE graft should be made to account for such branching. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1194189265 ER -