text: Perfusion storage methods can mechanically injury the vascular endothelium of the kidney, which leads to arterial thrombosis or fibrin deposition after reimplantation. Hill noted that, in human kidneys, fibrin deposition in the glomerulus after reimplantation and postoperative function, correlated with the length of perfusion storage. He had taken biopsies at revascularisation from human kidneys preserved by perfusion or ice storage, and showed by electron microscopy that endothelial disruption only occurred in those kidneys that had been perfused. Biopsies taken one hour after revascularisation showed platelets and fibrin adherent to any areas of denuded vascular basement membrane. A different type of vascular damage was described by Sheil who showed how a jet lesion could be produced distal to the cannula tied into the renal artery, leading to arterial thrombosis approximately 1 cm distal to the cannula site.