RT Book, Section A1 Nielsen, Chelsea L A1 Butler, Kevin S A1 Kim, Nancy A1 Grodstein, Elliot A1 Molmenti, Ernesto P A2 Molmenti, Ernesto Pompeo SR Print(0) ID 1194189554 T1 Inferior Epigastric Artery Reconstruction for an Upper Polar Accessory Transplant Renal Artery 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=1194189554 RD 2023/09/24 AB Small accessory upper polar transplant renal arteries rarely need to be reconstructed. In the case illustrated here, the donor kidney had a 1 mm upper polar artery supplying an estimated 15% of the renal parenchyma. The live donor was of small size (weight of the kidney was 160 grams) compared to the recipient (over 6 feet in height and greater than 200 lbs in weight). Both were of young age. The decision to reconstruct this artery was made after the kidney had been implanted and the size of the territory supplied by the accessory artery clearly identified. This is a technique to consider in instances of: