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      Complete Absence of Iliac Arteries in the Left Hemipelvis in a Case of Deceased Donor Renal Transplantation

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          Abstract

          Renal transplantation is an established method of treating end-stage renal failure. Whilst the majority of procedures follow a standard technique, vascular anomalies may pose intraoperative challenges and, therefore, careful preoperative assessment is warranted. We present a unique, complex case compounded by complete absence of iliac arteries in the left hemipelvis in association with double inferior vena cava in a young recipient.

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          Most cited references13

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          Preservation methods for kidney and liver.

          With the successful testing of the immunosuppressive effects of cyclosporine in transplant patients in 1978, the field of organ transplants began an exponential growth. With that, the field of organ preservation became increasingly important as the need to increase preservation time and improve graft function became paramount. However, for every patient that receives a transplanted organ, there are four more on the waiting list. In addition, a patient dies from the lack of a transplant almost every 1(1/2) hour. To alleviate this donor crisis, there is a need to expand the donor pool to marginal donor organs. The main reason these organs are underutilized is because the current method of static preservation, simple cold storage, is ineffective. This article will provide a general review of the methods of preservation including simple cold storage, hypothermic machine perfusion, normothermic machine perfusion, and oxygen persufflation. In addition, the article will provide a review of how these dynamic preservation methods have improved the recovery and preservation of marginal donor organs including Donation after Cardiac Death and Fatty livers.
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            Kidney transplant ureteroneocystostomy techniques and complications: review of the literature.

            Despite a variety of urinary tract reconstructive techniques, urinary complications are the most frequent technical adverse event following renal transplantation. These complications can be associated with substantial morbidity and generate excess cost. In this review we comprehensively discuss 4 techniques of ureteroneocystostomy, compare complications, and evaluate the strengths and weaknesses of each technique focusing on 4 specific urologic complications: urine leak, ureteric obstruction, hematuria, and symptomatic vesicoureteral reflux.
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              Congenital absence of the right common iliac artery: CT and angiographic demonstration.

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                Author and article information

                Journal
                Case Rep Transplant
                Case Rep Transplant
                CRIT
                Case Reports in Transplantation
                Hindawi Publishing Corporation
                2090-6943
                2090-6951
                2015
                30 April 2015
                : 2015
                : 138170
                Affiliations
                1Division of Surgery, Department of Transplantation, St James's University Hospital, Leeds LS9 7TF, UK
                2Department of Vascular Radiology, St James's University Hospital, Leeds LS9 7TF, UK
                Author notes

                Academic Editor: Sandeep Mukherjee

                Article
                10.1155/2015/138170
                4430649
                26064765
                76fcce78-b41f-41ad-bbf4-4918ad7bc212
                Copyright © 2015 Ebrahim Palkhi et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 January 2015
                : 30 March 2015
                Categories
                Case Report

                Transplantation
                Transplantation

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