[Results of the use of donors under 3 years of age for pediatric renal transplantation].
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.
Lledó García
Enrique
E
Servicio de Urología y Servicio de Nefrología Infantil, Hospital General Universitario Gregorio Marañón, Madrid, España. ENLLGA@terra.es
Hernández Fernández
Carlos
C
Verdú Tartajo
Fernando
F
Herranz Amo
Felipe
F
Escribano Patiño
Gregorio
G
Durán Merino
Ramón
R
Moncada Iribarren
Ignacio
I
Jara Rascón
José
J
Díez-Cordero
José María
JM
Subirá
David
D
Luque de Pablos
Augusto
A
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
Resultados de la utilización de donantes de edad inferior a 3 años en trasplante renal pediátrico.