Circumflexiliac artery as a main trunk anastomosis for kidney transplantation in a diabetic patient – a case report

Abstract

Advanced age patients with co-morbidities have represented a major group to the expansion of the waiting list in renal transplantation. The graft and patient survival rate has been improved in the last years due to the standardization of the surgical technique added to a better immunosuppression and graft preservation. Many technical challenges are related to anatomical variations, including multiple arteries. We describe a renal transplantation of a double artery graft implanted with anastomosis of the renal artery in the circumflex iliac artery and inferior epigastric artery. Doppler ultrasound in the postoperative period evidenced a resistance index of 0.72 and 0.75. Hemodialysis was done due to acute tubular necrosis of the graft, normalizing the renal function at the 43 PO with 1.4mg/dl serum creatinine. The improvement of the surgical techniques and postoperative handling has offered better results in renal transplantation for advanced age patients.