title: [Non-heart-beating renal donors: organization in a non-university hospital].
abstract: BACKGROUND
  In 2011 in France, all kidneys from patients with brain death and from living donors cannot meet the demand for renal transplants. Since 2006, sampling protocols kidneys from non-heart-beating donors (NHBD) are developed to increase the number of renal transplants. The objective was to describe the organization of a protocol NHBD in a non-university hospital.
  
  
  METHODS
  Patients with inclusion criteria of protocol NHBD of the Agency of Biomedicine were prospectively included between 1st July 2011 and 31 December 2012. The protocol data were comparable to national data. Vascular canulation was performed by urologists. The epidemiological, clinical and biological characteristics of patients included, the different times and deadlines of the protocol, and data of renal transplantation were collected and analyzed.
  
  
  RESULTS
  Over the period of 18 months, 16 patients were included in the protocol NHBD, with a median age of 42 years, and 87.5% of males; 93.8% of patients made a cardiac arrest outside the hospital. The median duration of no-flow was 4.3 minutes (0; 23), the median time between the cardiac arrest and admission to hospital was 90 minutes (0; 116), the median time between the cardiac arrest and the start of the normothermic recirculation was 139 minutes (40; 150), and the median duration of normothermic recirculation was 212 minutes (186; 240). For urologists, the median duration of mobilization was 178 minutes and 97 minutes after 20 h. Twenty-four kidneys were collected (75%) and 22 kidneys were transplanted (91.7%). The median duration of cold ischemia was 9 h 12 (5 h 25; 18 h 02). No primary non-function of graft was observed. Delayed graft function was observed in 50% of cases and the median duration of dialysis was 2 days (0; 19). After 12 months of inclusion, our center accounted for 8% of the national census and 16% of transplanted kidneys NHBD.
  
  
  CONCLUSIONS
  The involvement of rescue, coordination, anesthesiologists and urologists, and the concentration of jobs in our center have helped to minimize response times NHBD in the protocol for maximum quality of kidneys taken with transplant rates and results are very encouraging.
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France. Electronic address: varnoux@ch-annecy.fr.
authors.forename: V
authors.initials: V
authors.lastname: Arnoux
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Dorez
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Muller
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Gignoux
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Valignat
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Faucher
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Dechamboux
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Gour
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Jakkel
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Saint Marcel
authors.affiliation: Service d'urologie et transplantation rénale, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France.
authors.forename: N
authors.initials: N
authors.lastname: Terrier
authors.affiliation: Service d'urologie, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Skowron
mesh_terms: D000328:Adult; D005260:Female; D006323:Heart Arrest; D006761:Hospitals; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011446:Prospective Studies; D014019:Tissue Donors; D009927:Tissue and Organ Procurement
keywords: DDAC; Donneurs décédés par arrêt cardiaque; NHBD; Non-heart-beating donors; Organisation; Organization; Organs procurement; Prélèvement d’organes; Préservation rénale; Renal preservation; Renal transplantation; Transplantation rénale