Living emotionally related renal transplantation (LERT)--single center experience in the Balkans.
BACKGROUND
As elsewhere, the growing organ shortage is a main problem for organ transplantation. To solve the problem, we started accepting genetically unrelated, but emotionally related living donors.


METHODS
In the period of 1998-2002, 14 LERT are performed in the University Clinical Centre in Skopje, Republic of Macedonia. As suitable donors are used predominantly spouses, but also mother and brother in law. The immunosuppression included a quadruple protocol with Interleukin-2R antagonists, late cyclosporin A, MMF and steroids. The two-year graft and patients survival of LERT was compared with 22 living genetically related donor transplantation (LRT) performed in the same time.


RESULTS
The two years graft survival was 100% in LERT and 92% in LRT. There are not any significant difference among the medical and surgical complications between the two groups of pts. The actual serum creatinin was 101+22 in LERT compared with 142+34 in LRT.


CONCLUSIONS
The authors recommend the LERT as a valid alternative especially in the countries where the regular cadaver transplantation is not yet established.
Ivanovski
N
N
Department of Nephrology, University Clinical Center, Skopje, Republic of Macedonia. nivanovski@yahoo.com
Popov
Z
Z
Kolevski
P
P
Cakalaroski
K
K
Masin
J
J
Zafirovska
K
K
D000328:Adult; D000368:Aged; D003404:Creatinine / Q000097:blood; D004644:Emotions; D005195:Family Relations; D006085:Graft Survival; D006801:Humans; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation / Q000009:adverse effects; D019520:Living Donors / Q000523:psychology*; D008875:Middle Aged; D018843:Republic of North Macedonia; D016019:Survival Analysis; D016896:Treatment Outcome
D003404:Creatinine