Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Dec 18, 2025; 15(4): 109968
Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.109968
Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.109968
Inferior epigastric artery cuff interposition for short renal artery in living-donor kidney transplantation: A case report and review of literature
Brahim Lekehal, Noura Ait Youssef, Asma Jdar, Ayoub Bounssir, Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Mehdi Lekehal, Department of Vascular Surgery, Centre Hospitalier Universitaire Ibn Sina, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Tarik Bakkali, Department of Vascular Surgery, Mohammed V University, Rabat 6527, Rabat-Salé-Kénitra, Morocco
Co-corresponding authors: Brahim Lekehal and Noura Ait Youssef.
Author contributions: Lekehal B performed experiments and project administration; Ait Youssef N and Lekehal M wrote the first draft of the manuscript; collected the data; Ait Youssef N and Lekehal B are equally responsible for correspondence and revisions, and have played equally important role in leading the project, supervising the work, and writing the manuscript. Bounssir A, Bakkali T and Jdar A contributed to data interpretation and visualization; All authors reviewed, edited, and approved the final version of the manuscript.
Informed consent statement: Complete written informed consent was obtained from the patients (the donor and the recipient) for the publication of this study and accompanying images.
Conflict-of-interest statement: All the authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Brahim Lekehal, MD, Chief, Chief Physician, DM, Full Professor, Lecturer, Professor, Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Avenue des Nations Unis Agdal, B.P:8007.N.U., Rabat 6527, Rabat-Salé-Kénitra, Morocco. b.lekehal@um5r.ac.ma
Received: May 30, 2025
Revised: June 14, 2025
Accepted: July 16, 2025
Published online: December 18, 2025
Processing time: 173 Days and 22.5 Hours
Revised: June 14, 2025
Accepted: July 16, 2025
Published online: December 18, 2025
Processing time: 173 Days and 22.5 Hours
Core Tip
Core Tip: Due to the ongoing shortage of deceased donors, kidney transplantation has increased as a strategy to expand the donor pool. However, this rise has brought increased encounters. We report a successful transplantation involving a kidney with a short renal artery from a living donor, using inferior epigastric artery as a cuff interposition for arterial reconstruction. To our knowledge, this is the first documented case of using epigastric artery in this manner. This novel technique appears to be a promising solution to prevent early thrombosis caused by vessel size discrepancy, and mid- to long-term anastomotic stenosis due to myo-intimal hyperplasia.