RT Book, Section
A1 McCann-Molmenti, Alexia
A1 Miyara, Santiago J
A1 Guevara, Sara
A1 Molmenti, Ernesto P
A2 Molmenti, Ernesto Pompeo
SR Print(0)
ID 1194189540
T1 Iliac Artery Stenosis: Dorsal Oval Patch Repair
T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781260474275
LK accesssurgery.mhmedical.com/content.aspx?aid=1194189540
RD 2024/04/20
AB 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.