Renal allograft vessels are inspected for any atherosclerotic plaque occluding the osteum either partially or completely. When atheroma was present at the renal artery osteum Carrel's aortic patch was not used. Usually, the left renal allograft vessels were anastomosed to common iliac vessels. After opening, vascular clamp hemostasis was secured. The second transplant is performed distal to the first allograft. Usually, the right renal allograft vessels were anastomosed to external iliac vessels. Both ureters were implanted individually into the bladder by modified Lich's method [Figures 1 –4 ].
Cold ischemia time was defined as time since aortic clamping and starting of perfusion by chilled perfusion fluid solution till the time of opening of vascular clamps during recipient surgery. Delayed graft function was defined as need for dialysis in first week after transplantation. Induction immunosuppressant regime was based on cyclosporine in first five cases of transplantation from heart-beating brain-dead donors, and, antithymoglobulin in all others. Maintenance immunosuppressant regime was based on cyclosporine/tacrolimus, steroids, and mycofenolate mofetil in all patients.
Cold ischemia time was defined as time since aortic clamping and starting of perfusion by chilled perfusion fluid solution till the time of opening of vascular clamps during recipient surgery. Delayed graft function was defined as need for dialysis in first week after transplantation. Induction immunosuppressant regime was based on cyclosporine in first five cases of transplantation from heart-beating brain-dead donors, and, antithymoglobulin in all others. Maintenance immunosuppressant regime was based on cyclosporine/tacrolimus, steroids, and mycofenolate mofetil in all patients.
