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Thrombus (arrow) in the transplanted renal artery.
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Intra-operative Doppler ultrasound was conducted, which showed the sign of arterial thrombosis (Fig. 1), the renal hilum resistive index (RI) was 0.86 with Vmax at 107 cm/s.
The luminal dissection of the iliac artery.
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Then, while dissecting the arterial anastomosis, we spotted a 6 cm dissection in the right external iliac vessel (Fig. 2).
The iliac artery taken from the brain-dead donor.
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A donor's external iliac homograft was harvested (Fig. 3).
The transplanted kidney was re-perfused (arrow: ureter, arrowhead: arterial homograft).
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End-to-end anastomoses were performed and then, the renal was re-transplanted by end-to-side fashion (Fig. 4).