Comparison of Double Versus Single Renal Artery Anastomosis in Kidney Transplantation and Their Impact on Graft Survival, Surgical Outcomes, and Postoperative Complications

Double renal artery anastomosis in kidney transplantation is safe and effective, with comparable graft function, complication rates, and survival to single renal artery anastomosis. Despite a modestly longer warm ischemia time, outcomes remained equivalent, supporting the use of kidneys with multiple renal arteries to expand the donor pool in resource-limited settings.