title: [Overcoming limits with deceased donors: successful renal transplantations from a donor with serum creatinine of 13.1 mg/dL].
abstract: Non-expanded deceased donors with acute kidney failure can be a safe option to increase the number of kidneys for transplantation. Histological evaluation is fundamental to establish the functional prognosis of those grafts. Two kidney transplantations were performed from a young deceased donor with severe acute kidney failure and no structural change in the renal parenchyma. Both patients had postoperative delayed graft function, but one of them, who had good initial urinary volume, required no dialysis. Adequate renal function was present at day 30 after transplantation. Severe acute kidney failure in deceased donors is not an independent risk factor for short-term outcome of renal graft and should not be considered an absolute contraindication for transplantation.
authors: Departamento de Medicina, Universidade Federal de São Paulo, UNIFESP.
authors: Rodrigo
authors: R
authors: Klein
authors: Nelson Zocoler
authors: NZ
authors: Galante
authors: Marcello
authors: M
authors: Franco
authors: Maurício Costa Manso de
authors: MC
authors: Almeida
authors: Mário
authors: M
authors: Nogueira Júnior
authors: Hélio Tedesco
authors: HT
authors: Silva-Júnior
authors: José O Medina
authors: JO
authors: Pestana
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood*; D000328:Adult; D003404:Creatinine / Q000097:blood*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000592:standards*
chemical_list: D003404:Creatinine