title: [Results of the use of donors under 3 years of age for pediatric renal transplantation].
abstract: OBJECTIVE
  To evaluate the functional results and incidence of complications in a series of pediatric renal transplants using grafts from pediatric donors under 3 years of age.
  
  
  METHODS
  We review a serious of 19 renal transplants consecutively performed in pediatric receptors with donors under the age of 3 years. We analyze immediate function, medical and surgical complications, and long and mid-term graft and patient survivals.
  
  
  RESULTS
  We observed initial graft dysfunction in 9 patients (47.4%). Six patients had vascular complications (31.5%). More vascular complications appeared in kidneys preserved with EC solution (35.3%) in comparison with UW solution (23.5%) (p < 0.05). 1, 5, 10, and 12 year actuarial graft survivals were 57.8%, 41.4%, 35.5% and 35.5%, respectively. Based on preservation solution, 1, 5, and 10 year actuarial graft survivals for EC were 44%, 33% and 16%, respectively; results improved with UW solution up to 60%, 50%, and 50% respectively (p < 0.001).
  
  
  CONCLUSIONS
  Kidneys from donors under the age of the 3 years in pediatric receptors suffer a high incidence of vascular complications offering a low graft survival on the long-term, being these facts more evident when simpler preservation solutions are employed.
authors.affiliation: Servicio de Urología y Servicio de Nefrología Infantil, Hospital General Universitario Gregorio Marañón, Madrid, España. ENLLGA@terra.es
authors.forename: Enrique
authors.initials: E
authors.lastname: Lledó García
authors.forename: Carlos
authors.initials: C
authors.lastname: Hernández Fernández
authors.forename: Fernando
authors.initials: F
authors.lastname: Verdú Tartajo
authors.forename: Felipe
authors.initials: F
authors.lastname: Herranz Amo
authors.forename: Gregorio
authors.initials: G
authors.lastname: Escribano Patiño
authors.forename: Ramón
authors.initials: R
authors.lastname: Durán Merino
authors.forename: Ignacio
authors.initials: I
authors.lastname: Moncada Iribarren
authors.forename: José
authors.initials: J
authors.lastname: Jara Rascón
authors.forename: José María
authors.initials: JM
authors.lastname: Díez-Cordero
authors.forename: David
authors.initials: D
authors.lastname: Subirá
authors.forename: Augusto
authors.initials: A
authors.lastname: Luque de Pablos
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007668:Kidney; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D011183:Postoperative Complications; D014019:Tissue Donors
vernacular_title: Resultados de la utilización de donantes de edad inferior a 3 años en trasplante renal pediátrico.