title: External iliac artery polytetrafluoroethylene graft interposition: An effective rescuer for kidney transplant in progressive intimal dissection of external iliac artery.
abstract: OBJECTIVE
  The aim of this study is to highlight the use of polytetrafluoroethylene (PTFE) interposition graft as an important salvage procedure in case of irreparable intimal injury of external iliac artery during renal transplant recipient surgery.
  
  
  METHODS
  Since 1987, we encountered irreparable intimal dissection of external iliac artery in five cases just after opening the clamp. It was successfully managed by PTFE interposition graft with subsequent end to side anastomosis of donor renal artery to the vascular graft.
  
  
  RESULTS
  No patient had bleeding or infective complications related to the graft and three patients had immediate diuresis. Normal immediate graft function was present in three patients while the other two had delayed graft function.
  
  
  CONCLUSIONS
  Polytetrafluoroethylene interposition graft is a successful procedure to salvage the kidney and lower limb in case of progressive intimal dissection of external iliac artery during renal transplant surgery.
authors.affiliation: Department of Urology and Kidney Transplant Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Tanveer Iqbal
authors.initials: TI
authors.lastname: Dar
authors.affiliation: Department of Urology and Kidney Transplant Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Vipin
authors.initials: V
authors.lastname: Tyagi
authors.affiliation: Department of Urology and Kidney Transplant Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Abdul Rouf
authors.initials: AR
authors.lastname: Khawaja
authors.affiliation: Department of Urology and Kidney Transplant Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Chadha
authors.affiliation: Department of Urology and Kidney Transplant Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Harsha
authors.initials: H
authors.lastname: Jauhari
keywords: Intimal dissection; interposition graft; poly-tetrafluoroethylene; renal transplant