Figure 1415

Completed end-to-side renal artery-to-external iliac artery anastomosis. Many surgeons perform the arterial anastomosis first because it is smaller than is the venous anastomosis. Thus, the kidney can be moved about more easily to expose the arterial anastomosis when it is not tethered by a previously completed venous anastomosis. An ice-cold electrolyte solution is periodically dripped onto the kidney graft to keep it cold during vascular reconstruction.

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