Autologous blood transfusion for kidney transplant recipients.
Autologous blood transfusion (ABT) is rarely employed in patients with end-stage renal disease (ESRD); these patients are usually anemic. Since 1998, we have attempted ABT for ESRD patients undergoing living-related kidney transplantation. Among 20 patients enrolled in this study the preoperative hemoglobin and hematocrit levels were 10.0 +/- 1.2 mg/dL (range, 8.1-11.7) and 30.0 +/- 3.7% (range, 24.7-34.3), respectively. Blood volume collected on each occasion was 235.7 +/- 57.7 mL (range, 200-400), and the number of blood collections was 2.45 +/- 0.9 (range, 1-4). Total collected volume was 567.5 +/- 157.5 mL (range, 400-800). Symptomatic hypotension was seen in two patients, but vital signs recovered spontaneously. No other problems related to blood collection were observed. Allogeneic transfusion was need in only one patient (5%). ABT was safe and efficacious in ESRD patients scheduled for living-related kidney transplantation.
Sasaki
H
H
Department of Urology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. sr20det@marianna-u.ac.jp
Chikaraishi
T
T
Furuhata
S
S
Tsutsumi
H
H
Miyano
S
S
Nakazawa
R
R
Nakano
T
T
Kudo
H
H
Kitajima
K
K
Takahashi
T
T
Satoh
Y
Y
Kimura
K
K
D000293:Adolescent; D000328:Adult; D000740:Anemia / Q000209:etiology; D001804:Blood Transfusion, Autologous; D005190:Family; D005260:Female; D006400:Hematocrit; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D016030:Kidney Transplantation / Q000502:physiology*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis