Absorbable cyanoacrylate surgical sealant in kidney transplantation

As the proportion of older recipients increases, the vascular anastomoses can be challenging with significant atherosclerosis, and patients with comorbidities may be on an anticoagulation therapy, potentially increasing the risk of hemorrhagic complications. We report a case of kidney transplantation in which an absorbable cyanoacrylate surgical sealant was used. A 32-year-old white male received a kidney transplant from his wife. Two renal arteries of the donor's left kidney were reconstructed on the back table and anastomosed to the right iliac artery of the recipient. After the sealant was applied to the suture lines, the vascular clamps were released without significant bleeding from the anastomoses. The recipient demonstrated a stable graft function without an immediate complication. This case illustrates the potential benefits of the cyanoacrylate sealant in selected kidney transplant recipients.