title: Short-term evolution of renal transplant with grafts from donation after cardiac death: Type III Maastricht category.
abstract: BACKGROUND
  Kidney transplantation from donors after cardiac death (Type III Maastricht category) is a therapeutic option for patients with terminal renal failure.
  
  
  METHODS
  We present a cohort of 8 patients who received a kidney transplant from donors after cardiac death (DCD). We analyzed the analytical results for the first 6 months after transplantation.
  
  
  RESULTS
  We included 8 cases of kidney transplants with organs from DCD (Type III Maastricht category). The mean age of donors was 58.40 ± 4.39 years and 3 (60%) were male. The mean creatinine (Cr) level prior to death was 1.10 ± 0.36 mg/dL. The mean age of recipients was 59.88 ± 10.58 years and 7 (87.5%) were male. Seven patients (87.5%) were on hemodialysis, whereas only 1 (12.5%) was on peritoneal dialysis. The median time on renal replacement therapy was 18 months (range, 2-76). Mean total warm ischemia time (WIT) was 24.88 ± 6.72 minutes, whereas the mean real WIT was 20.13 ± 4.51 minutes. The mean cold ischemia time (CIT) was 6 hours and 12 minutes ± 2 hours. Preimplantation biopsy showed acute tubular necrosis (extensive 40%). Tubular atrophy was mild in 100% of cases. After transplantation, 6 patients (75%) had delayed graft function requiring dialysis sessions whereas 2 patients (25%) did not require renal replacement therapy. Mean Cr level at 1, 3, and 6 months after transplantation was 2.37, 1.75, and 1.17 mg/dL, respectively.
  
  
  CONCLUSIONS
  Kidney transplantation with grafts from donors after cardiac arrest Maastricht Type III evolves favorably in the short term. According to preliminary results, controlled asystole donation could be an effective alternative to transplantation.
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain. Electronic address: emedesalmeron@gmail.com.
authors: M D
authors: MD
authors: Salmeron-Rodriguez
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: M D
authors: MD
authors: Navarro-Cabello
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: M L
authors: ML
authors: Agüera-Morales
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: M
authors: M
authors: Lopez-Andreu
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: A
authors: A
authors: Rodriguez-Benot
authors: Department of Transplant Coordination, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: J C
authors: JC
authors: Robles-Arista
authors: Department of Transplant Coordination, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: J M
authors: JM
authors: Dueñas-Jurado
authors: Department of Urology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: J P
authors: JP
authors: Campos-Hernandez
authors: Department of Urology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: M J
authors: MJ
authors: Requena-Tapia
authors: Department of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
authors: P
authors: P
authors: Aljama-Garcia
mesh_terms: D000328:Adult; D000368:Aged; D050377:Cold Ischemia; D051799:Delayed Graft Function / Q000453:epidemiology; D046148:Donor Selection; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D016896:Treatment Outcome; D052096:Warm Ischemia