Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear
In living donor renal transplants, the right kidney is less favored. The shorter length and thinner wall of the right renal vein presents technical challenges. Herein, we describe a method of utilizing reconfigured saphenous vein as an interposition graft to extend the graft renal vein. In this case...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Transplantation |
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| Online Access: | https://journals.lww.com/10.4103/ijot.ijot_111_24 |
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| author | Navneet Saurav Swapnil Singh Kushwaha Ruchir Maheshwari Anant Kumar |
| author_facet | Navneet Saurav Swapnil Singh Kushwaha Ruchir Maheshwari Anant Kumar |
| author_sort | Navneet Saurav |
| collection | DOAJ |
| description | In living donor renal transplants, the right kidney is less favored. The shorter length and thinner wall of the right renal vein presents technical challenges. Herein, we describe a method of utilizing reconfigured saphenous vein as an interposition graft to extend the graft renal vein. In this case, a 46-year-old male underwent renal transplantation, and postdeclamping, significant bleeding from a small venous twig was encountered. Attempted clipping resulted in a tear, necessitating suture repair, which compromised the lumen. The kidney had to be explanted due to congestion. A segment of the saphenous vein was harvested, detubularized, and reconfigured along the horizontal axis with 7-0 prolene suture. The graft kidney was then reanastomosed as before, and the transplant was completed successfully. |
| format | Article |
| id | doaj-art-859647d9e2174676a85e571297f3a446 |
| institution | OA Journals |
| issn | 2212-0017 2212-0025 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Transplantation |
| spelling | doaj-art-859647d9e2174676a85e571297f3a4462025-08-20T02:11:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Transplantation2212-00172212-00252025-01-01191707310.4103/ijot.ijot_111_24Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein TearNavneet SauravSwapnil Singh KushwahaRuchir MaheshwariAnant KumarIn living donor renal transplants, the right kidney is less favored. The shorter length and thinner wall of the right renal vein presents technical challenges. Herein, we describe a method of utilizing reconfigured saphenous vein as an interposition graft to extend the graft renal vein. In this case, a 46-year-old male underwent renal transplantation, and postdeclamping, significant bleeding from a small venous twig was encountered. Attempted clipping resulted in a tear, necessitating suture repair, which compromised the lumen. The kidney had to be explanted due to congestion. A segment of the saphenous vein was harvested, detubularized, and reconfigured along the horizontal axis with 7-0 prolene suture. The graft kidney was then reanastomosed as before, and the transplant was completed successfully.https://journals.lww.com/10.4103/ijot.ijot_111_24living donorrenal transplantationright renal veinsaphenous veinvein interpositionvenous reconstruction |
| spellingShingle | Navneet Saurav Swapnil Singh Kushwaha Ruchir Maheshwari Anant Kumar Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear Indian Journal of Transplantation living donor renal transplantation right renal vein saphenous vein vein interposition venous reconstruction |
| title | Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear |
| title_full | Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear |
| title_fullStr | Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear |
| title_full_unstemmed | Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear |
| title_short | Reconfigured Saphenous Vein Interposition as a Salvage Technique for Right Renal Allograft Vein Tear |
| title_sort | reconfigured saphenous vein interposition as a salvage technique for right renal allograft vein tear |
| topic | living donor renal transplantation right renal vein saphenous vein vein interposition venous reconstruction |
| url | https://journals.lww.com/10.4103/ijot.ijot_111_24 |
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