[The use of kidney grafts++ from donors of the same age or below 3 years (weight equal or below 15 Kg)].
Over the last few years an impasse has been seen in the number of donors for organ transplantation. This has prompted a re-statement on the use of a group of grafts which, historically, were considered suboptimal: those from donors aged 3 years or under (weight less than or equal to 15 kg). 124 transplantations from corpse donors performed in adults over a 36 months period (Jun 90/July 93) were revised. 24 grafts (19.3%) from donors aged 3 years or under were used. Thirteen (54%) of these grafts were from donors aged 24 months or under, and six (27%) from donors aged 12 months or under. A comparative analysis is made on the clinical and functional evolution of these grafts, as well as their current survival status versus those from donors aged between 3 and 60 years (n = 86, 69.3%). Transplants made with grafts from donors older than 60 years (n = 14, 11.2%) were excluded from the analysis. Our results suggest that use of kidneys from donors aged 3 years or under--weight less than or equal to 15 kg--, implanted as units is acceptable when compared to grafts from older donors. Considering the current impasse in donations for organ transplantation we believe use of this type of donors, as a useful source of grafts, should be advocated.
Lledó Garciá
E
E
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid.
Hernández Fernández
C
C
Escribano Patiño
G
G
Herranz Amo
F
F
Verdú Tartajo
F
F
Díez Cordero
J M
JM
Moncada Iribarren
I
I
Durán Merino
R
R
De Palacio España
A
A
González Chamorro
F
F
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007668:Kidney / Q000033:anatomy & histology*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000502:physiology; D008875:Middle Aged; D009929:Organ Size; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D015996:Survival Rate; D014019:Tissue Donors
Utilización de injertos renales de donantes de edad igual o inferior a 3 años (peso inferior o igual a 15 kgrs).