American Journal of Transplantation

Kidney graft directly implanted on endovascular stent in external iliac artery: A preliminary experience

02 January 2025

With an increasingly aging population, both end-stage renal disease and peripheral artery disease become more prevalent. Peripheral artery disease is increasingly treated with endovascular procedures. Endovascular stenting of the external iliac artery is often considered a contraindication for kidney transplantation, as clamping of the artery could result in possible injury to the stent. In this study, we describe our first 2 cases of kidney transplantation with a graft placed on a self-expandable metal stent and a covered stent as part of an endovascular repair of the aortic bifurcation, using endovascular balloon occlusion to occlude the proximal side of the external iliac artery. Six months after transplantation, both recipients have good kidney function without any signs of ischemia of the ipsilateral limb. This study shows that it is feasible to place a kidney graft on an endovascular stent.

Copyright © 2025 The Author(s). This abstract is distributed by the DKTSG | Dutch Kidney Transplant Study Group on behalf of the author(s) of this work under the terms of the Creative Commons Attribution License 4.0 (CC-BY). The work can be changed in any way or used commercially without prior permission from the journal. Citation: Am J Transplant. 2025 Jan 2:S1600-6135(24)01059-1. doi: 10.1016/j.ajt.2024.12.279.