| Introduction:Three modalities for treating chronic kidney failure are peritoneal dialysis, hemodialysis, and kidney transplantation. Among them kidney transplantation is cost-effcient and
leads to a somewhat normal quality of life. In this approach, most often the external iliac artery
is selected for anastomosis, but this could be disastrous if anastomosis leads to a complication.
The traditional end-to-end approach for anastomosis of the kidney artery to the internal iliac
artery leads to pelvic organ ischemia. However, if the end-to-end anastomosis is replaced by an
end-to-side approach, it is safer. This report discusses some cases of end-to-side anastomosis
using the internal iliac artery.
Method: In ten cases of chronic kidney failure, we anastomosed the kidney artery to the internal
iliac artery with an end-to-side approach.
Results:After vessels were unclamped, all patients had diuresis. Their creatinine was in normal
range and was blood flow in the internal iliac artery, based on color Doppler ultrasound.
Conclusion: End-to-side anastomosis can be done in some chronic kidney failure patients if
their internal iliac arteries are large enough. This approach is safer than anastomosis using the
external iliac artery. |