Abstract

The use of kidney allografts with multiple renal arteries (MRAs) in kidney transplantation is no longer considered a contraindication to renal transplantation. Traditional decision on best management of accessory renal vessels has been guided by surgeons' surgical experience and institutional experience. The role of inferior epigastric artery (IEA) as an inflow vessel has often been relegated as a secondary option for allografts with MRAs due to perception of greater technical challenge and worse outcomes.

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