title: Kidney transplantation from cardiac death donors with terminal acute renal failure.
abstract: OBJECTIVE
  Kidney transplantation from donation after cardiac death (DCD) donors with terminal acute renal failure (ARF) is not widely accepted due to concern about the organ quality. Here we report our initial clinical outcomes of kidney transplantation from DCD donors with ARF.
  
  
  METHODS
  The results of 29 kidney transplants from ARF DCD donors were compared with those of 60 kidney transplants from non-ARF DCD donors performed at our center from August 2011 to March 2013.
  
  
  RESULTS
  There was no difference in the incidence of delayed graft function and acute rejection between ARF and non-ARF kidneys (27.6% vs 16.7%, 10.3% vs 8.3%, respectively). Estimated glomerular filtration rate at 12 months was similar between ARF and non-ARF kidneys. With a mean follow-up of 18 months (range 7 to 26 months), actual patient and graft survival rates for ARF DCD recipients were 100% and 96.6%, respectively, which were similar to those of the control group of kidney transplants from non-ARF kidneys (98.3% and 95.0%).
  
  
  CONCLUSIONS
  Kidneys from DCD donors with terminal ARF have excellent short-term outcomes and may represent another potential method to safely expand the donor pool.
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: X P
authors.initials: XP
authors.lastname: Yuan
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: M
authors.initials: M
authors.lastname: Han
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: X P
authors.initials: XP
authors.lastname: Wang
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: J
authors.initials: J
authors.lastname: Zhou
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: X Y
authors.initials: XY
authors.lastname: Jiao
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. Electronic address: wcx6363@163.com.
authors.forename: C X
authors.initials: CX
authors.lastname: Wang
authors.affiliation: Organ Transplant Center, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors.forename: X S
authors.initials: XS
authors.lastname: He
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D000328:Adult; D002423:Cause of Death; D002681:China; D051799:Delayed Graft Function / Q000209:etiology; D046148:Donor Selection; D005260:Female; D005919:Glomerular Filtration Rate; D006084:Graft Rejection / Q000209:etiology; D006331:Heart Diseases / Q000150:complications / Q000401:mortality*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000401:mortality; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome; D055815:Young Adult