title: Cadaveric renal transplantation from a non-heart-beating pediatric donor into adult recipients.
abstract: BACKGROUND
  The use of cadaveric pediatric kidneys has been suggested as a means to overcome organ shortage, but is debated because of technical complications and an increased incidence of functional allograft impairment.
  
  
  METHODS
  We experienced 2 cases of cadaveric renal transplantation from a non-heart-beating pediatric donor.
  
  
  RESULTS
  In our cases, transplanted kidneys achieved good graft function and proteinuria due to glomerulosclerosis was not recognized.
  
  
  CONCLUSIONS
  Previous reports indicate that in transplantation from pediatric donors into adults recipients, glomerular sclerosis occurs as the reason for impairment of grafts. Further, cadaveric renal transplantation from a non-heart-beating donor has a warm ischemia time and an increased risk of hyperfiltrated injury and graft failure. If transplantation of pediatric kidneys into adults from a non-heart-beating donor is performed, BMI and BSA must be carefully considered in the selection of recipients in order to avoid imbalance between nephron supply and metabolic demands and to insure successful, healthy grafts.
authors.affiliation: Department of Urology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585 Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nakatani
authors.forename: Junji
authors.initials: J
authors.lastname: Uchida
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Iwai
authors.forename: Toshihide
authors.initials: T
authors.lastname: Naganuma
authors.forename: Taku
authors.initials: T
authors.lastname: Kim
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Sugimura
mesh_terms: D015992:Body Mass Index; D001830:Body Surface Area; D002102:Cadaver; D002648:Child; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000502:physiology; D008297:Male; D008875:Middle Aged