Renal transplant is the most auspicious renal replacement therapy regarding prognosis and survival in patients with chronic kidney disease. The most common surgical technique for kidney graft placement is heterotopic transplant with graft renal artery anastomosis to the receptor's iliac artery, however, there are extraordinarily challenging cases that limit this technique. This case report's objective is to detail an orthotopic renal transplant with end-to-end anastomosis of splenic artery in a patient with iliac artery thrombosis and exhaustion of vascular accesses.
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Monreal et al. (2024) studied this question.
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