Alternative grafting technique for patients unsuited to heterotopic transplantation due to diseased pelvic conditions.

Introduction: An alternative technique for kidney transplantation is presented for patients in whom the use of pelvic vessels is precluded.

Patients And Methods: Of 482 cases of kidney or pancreas-kidney transplants, 4 were unsuited to heterotopic grafting, 1 due to multiple operations in the fossae and the 3 others due to extensive vascular occlusive disease. The patients were studied preoperatively by magnetic resonance angiography, which revealed extensive occlusive disease of the distal aorta and/or iliac vessels.