Extended donor iliac arterial patch for vascular reconstruction during pancreas transplantation.
Iliac arteries in allograft pancreas recipients may be compromised by the patient's underlying disease or previous surgical intervention. We describe a previously unreported arterial reconstruction using an extended segmental common/external iliac artery patch with anastomosis of the pancreatic Y-graft to the patch internal iliac artery, and review the options for arterial reconstruction reported by others. This technique may find application in both pancreas and kidney transplantation to salvage a damaged or diseased iliac artery.
Mercer
David F
DF
Section of Transplantation, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
Rigley
Theodore
T
Stevens
R Brian
RB
D000328:Adult; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D010179:Pancreas / Q000098:blood supply*; D016035:Pancreas Transplantation