title: Dual kidney transplant: a single-center experience and review of the literature.
abstract: OBJECTIVE
  Adult dual kidney transplant is a strategy to overcome the imbalance between limited nephron mass supplied from an older donor and a recipient with a metabolic request.
  
  
  METHODS
  In our report, we review the literature and present our single-center experience. From June 2007 until July 2012, nine hundred twenty-eight single and seventeen dual kidney transplants from deceased donors were performed.
  
  
  RESULTS
  The average donor was 71.5 ± 3.6 years of age with an average serum creatinine, creatinine clearance, and an average number of sclerotic glomeruli, 106.1 ± 44.2 μmol/L, 0.97 ± 0.37 mL/s, and 22.4 ± 14.2. Immediate graft function and acute rejection episodes were observed in 75% and 6% of patients. The overall patient survival rates at 1 and 2 years after transplant were 93%. The overall graft survival rates at 1 and 2 years were 88%.
  
  
  CONCLUSIONS
  Previous studies and our single-center experience suggest that the dual transplant procedure may help improve results of kidney transplants from expanded criteria donors and extend the donor pool by using kidneys that would be discarded otherwise.
authors.affiliation: Department of Surgery, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
authors.forename: Peter
authors.initials: P
authors.lastname: Balaz
authors.forename: Slavomir
authors.initials: S
authors.lastname: Rokosny
authors.forename: Peter
authors.initials: P
authors.lastname: Wohlfahrt
authors.forename: Mariana
authors.initials: M
authors.lastname: Wohlfahrtova
authors.forename: Milos
authors.initials: M
authors.lastname: Adamec
authors.forename: Libor
authors.initials: L
authors.lastname: Janousek
authors.forename: Jiri
authors.initials: J
authors.lastname: Fronek
authors.forename: Ondrej
authors.initials: O
authors.lastname: Viklicky
authors.forename: Eva
authors.initials: E
authors.lastname: Pokorna
mesh_terms: D000208:Acute Disease; D000368:Aged; D018153:Czech Republic; D051799:Delayed Graft Function / Q000209:etiology / Q000401:mortality; D046148:Donor Selection; D005260:Female; D006084:Graft Rejection / Q000209:etiology / Q000401:mortality; D006085:Graft Survival; D006801:Humans; D053208:Kaplan-Meier Estimate; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome