Complex arterial reconstruction for pancreas transplantation in recipients with advanced arteriosclerosis.

Pancreas transplantation can be very challenging in the recipient with iliac artery disease. In this report, we describe three techniques we have applied in these difficult situations and include demonstrative case reports. In principle, we believe that this is a problem that should be dealt with carefully to prevent further complicating the situation and should be resolved before bringing the allograft to the operative field in order to prevent prolonged warm ischemic times.