title: First documented case of successful kidney transplantation from a donor with acute renal failure treated with dialysis.
abstract: There is a widening gap between the needs and possibilities of kidney transplantation. In order to solve the problem of organ shortage, the selection criteria for kidney donors have been less stringent over the last years. Favorable outcome of renal transplantation from deceased donors with acute renal failure requiring dialysis may have an important role in expanding the pool of donors. We present the case of two renal transplantations from a polytraumatized 20-years old donor with acute renal failure requiring dialysis. One recipient established good diuresis from the first post-transplant day and did not require hemodialysis. The second recipient had delayed graft function and was treated with 8 hemodialysis sessions. The patient was discharged with good diuresis and normal serum creatinine. After two years of follow-up, both recipients have normal graft function. According to our experience, kidneys from deceased young donors with acute renal failure requiring dialysis may be transplanted, in order to decrease the number of patients on transplantation waiting lists.
authors: Department of Anesthesiology, Reanimatology and Intensive Care, University of Zagreb, Kispaticeva 12, 10000, Zagreb, Croatia.
authors: Iva
authors: I
authors: Bacak-Kocman
authors: Mladen
authors: M
authors: Peric
authors: Zeljko
authors: Z
authors: Kastelan
authors: Petar
authors: P
authors: Kes
authors: Ines
authors: I
authors: Mesar
authors: Nikolina
authors: N
authors: Basic-Jukic
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy*; D000328:Adult; D051799:Delayed Graft Function / Q000628:therapy; D005260:Female; D006801:Humans; D007668:Kidney / Q000502:physiology*; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications*; D006435:Renal Dialysis; D020858:Tissue and Organ Harvesting; D055815:Young Adult