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Shortening a Carrel Patch in a Graft With Multiple Arteries: A Step-By-Step Technical Analysis
Alex Barlas1, Demetrios Moris, Georgios Zavos
1From the Transplantation Unit, Athens University School of Medicine, Laikon General Hospital, Athens, Greece.
Summary
Shortening the aortic patch of a deceased donor kidney with multiple arteries simplifies arterial anastomosis. This technique creates a neopatch, facilitating a single connection during renal transplantation.
Area of Science:
- Urology
- Transplant Surgery
- Vascular Surgery
Background:
- Multiple renal arteries in donor kidneys present significant surgical challenges during renal transplantation.
- Complex back-table vascular reconstruction and implantation techniques are often required.
Observation:
- A case report details a 63-year-old male recipient of a deceased donor kidney with two arteries originating from a Carrel patch.
- The donor kidney's aortic patch measured greater than 2.5 cm.
Findings:
- A novel technique involving shortening the Carrel patch was successfully applied.
- This modification facilitated the creation of a neopatch, enabling a single arterial anastomosis.
Implications:
- Shortening the aortic patch offers a viable strategy for managing multiple renal arteries in deceased donor transplants.
- This approach simplifies the surgical procedure and may improve outcomes in renal transplantation.
