# Use of the gonadal vein for kidney transplantation in patients with iliac venous complications: case series

## TL;DR

This paper reports on four kidney transplants in women with vascular issues, using the gonadal vein as a safe alternative for venous anastomosis.

## Contribution

The study demonstrates the feasibility and safety of using the gonadal vein in complex kidney transplant cases with iliac venous complications.

## Key findings

- Gonadal vein anastomosis was successfully used in four patients with vascular access failure.
- No vascular complications or reoperations occurred despite high immunological risk in two patients.
- Post-transplant renal function stabilized with creatinine levels below 1.5 mg/dL.

## Abstract

This study presents four urgent deceased-donor kidney transplants in women with vascular access failure, where the gonadal vein was used for venous anastomosis. Two patients were high immunological risk. Cold ischaemia time ranged from 13h47min to 26h20min. Ureteral anastomoses used Lich-Gregoir or uretero-ureteral techniques. Complications included wound infection, pyelonephritis, and antibody-mediated rejection; no vascular issues or reoperations occurred. Hospital stays ranged from 7 to 39 days. Renal function improved, stabilizing below 1.5 mg/dL. Gonadal vein anastomosis appears to be a feasible and safe alternative in complex transplant scenarios.

Not applicable.