[Pediatric renal transplantation from young children donors (aged < or = 6 years). Complications and functional clinical course].
OBJECTIVE
To evaluate functional results and complications in a group of pediatric patients who received kidney transplants from donors aged 6 years or less.


METHODS
Thirty-four consecutive renal transplants were reviewed. Of 34 patients, 19 (55.8%) received kidneys from donors aged below 3 years (Group A) and 15 (44.2%) from donors aged 3-6 years (Group B). Long-term functional patient and graft survival results along with complications were compared in both groups.


RESULTS
Seven patients in group A (36.7%) had vascular complications, in comparison to 3 in group B (20%, p<0.05). Kidneys preserved in Eurocollins (EC) solution had more vascular complications (35.3%) in comparison to University of Wisconsin (UW) solution kidneys (23.5%, p<0.05). Ten-year graft survival rate in group A was significantly lower in comparison to group B (35.5% vs 58.6%, p<0.05). In relation to preservation solution type used, 10-year graft survival rate was also significantly better in UW group (26.8% vs 63%, p<0.001).


CONCLUSIONS
The exclusion of donors younger than 3 years and the utilization of optimal preservation solutions produces a decrease in figures of vascular complications and a significant improvement in graft survival rates.
Lledó García
E
E
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid.
Díez Cordero
J M
JM
Subirá Ríos
D
D
Castaño González
I
I
Moralejo Gárate
M
M
Martínez-Salamanca
J I
JI
Hernández Fernández
C
C
Luque de Pablos
A
A
D000206:Actuarial Analysis; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation / Q000009:adverse effects / Q000502:physiology; D011183:Postoperative Complications / Q000453:epidemiology; D015996:Survival Rate; D014019:Tissue Donors