title: [Renal transplantation using a Maastricht category III non-heartbeating donor: First French experience and review of the literature].
abstract: In 2015, Annecy Hospital was the first French hospital to perform non-heartbeating organ donation from a Maastricht category III donor (patient awaiting cardiac arrest after withdrawal of treatment). Non-heartbeating organ donation (NHBD), performed in France since 2006, had initially excluded this category, due to ethical questions concerning end of life and treatment withdrawal, as well as technical specificities linked to this procedure. Grenoble University Hospital and Edouard-Herriot Hospital in Lyon then performed the first kidney transplants, with satisfactory outcomes in both recipients. This article presents the details and results of this new experience, challenging both on a deontological and organizational level. Functional outcomes of kidney grafts from NHBD are now well known in the literature and confirm their benefit for patients, with similar results to those from heartbeating donors (HBD). International experiences concerning specifically Maastricht category III NHBD are encouraging and promising.
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France. Electronic address: cessedl@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Lanchon
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: J-A
authors.initials: JA
authors.lastname: Long
authors.affiliation: Service d'urologie, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Boudry
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: N
authors.initials: N
authors.lastname: Terrier
authors.affiliation: Service d'urologie, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Skowron
authors.affiliation: Service d'urologie, hôpital Édouard-Herriot, hospices civils de Lyon, 69437 Lyon cedex 03, France.
authors.forename: L
authors.initials: L
authors.lastname: Badet
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Descotes
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: J-J
authors.initials: JJ
authors.lastname: Rambeaud
authors.affiliation: Service de néphrologie, de dialyse et de transplantation, CHU de Grenoble, 38043 Grenoble cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Malvezzi
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: B
authors.initials: B
authors.lastname: Boillot
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Thuillier
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: V
authors.initials: V
authors.lastname: Arnoux
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: G
authors.initials: G
authors.lastname: Fiard
authors.affiliation: Service d'urologie et de transplantation rénale, CHU de Grenoble, 1, boulevard de la Chantourne, 38043 Grenoble cedex 9, France.
authors.forename: D
authors.initials: D
authors.lastname: Poncet
authors.affiliation: Service de réanimation, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Dorez
mesh_terms: D000328:Adult; D005602:France; D006323:Heart Arrest; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D009927:Tissue and Organ Procurement
keywords: Classification de Maastricht; DDAC; Donneurs décédés par arrêt circulatoire; Kidney transplantation; Maastricht category; NHBD; Non-heartbeating organ donation; Organ donation; Prélèvement d’organes; Transplantation rénale