Early graft function in kidney transplantation from non-heart-beating donors.
The shortage of kidneys for transplantation is a universal problem. The non heart beating donor (NHBD) is one such source. This study evaluates the early graft function after kidney transplantation from NHBD. We report our experience with 126 kidney transplantations retrospectively. As a result, the kidney from NHBD over 50 years of age, led to the longer ATN and high PNF (13.8+/-12.6 days and 16.9% respectively). TIT more than 720 min or less had statistically correlated with the length of ANT (13.3 v. 8.4 days). Significant higher incidence of PNF (19.3%) was shown in the group of TIT more than 720 min with WIT of 20.8+/-31.6 min. Significant low flow by machine perfusion was resulted in PNF. In conclusion, we suggest that early and delayed graft function of kidneys from NHBD should be recognized as a separate clinical entity with its own significant effects.
Fifth Department of Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan. mtn@tokyo-med.ac.jp
Naoto
N
Matsuno
Jo
J
Tashiro
Masami
M
Uchiyama
Hitoshi
H
Iwamoto
Koichiro
K
Hama
Yuki
Y
Nakamura
Isao
I
Akashi
Koho
K
Narumi
Etsuo
E
Sakurai
Kiyoko
K
Kubota
Takeshi
T
Nagao
D000328:Adult; D006323:Heart Arrest; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D016030:Kidney Transplantation; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods; D012189:Retrospective Studies; D013997:Time Factors; D014019:Tissue Donors