title: Dual Kidney Transplantation From Pediatric Donors to Adult Recipients.
abstract: BACKGROUND
  The organ shortage is a global problem. A potential approach to expanding the deceased donor pool is to harvest organs from pediatric patients.
  
  
  METHODS
  Seven cases of dual kidney transplantation from pediatric donors to adult recipients were performed between 2012 and 2014 in our center. The proximal end of the donor aorta (AO) was anastomosed to the right common iliac artery or external artery. The proximal end of the donor inferior vena cava (IVC) was anastomosed to the right external iliac vein. Recipients received basiliximab or antithymocyte globulin as induction therapy, followed by tacrolimus, mycophenolate mofetil, and prednisone. Prophylactic anticoagulation was not universal in our study.
  
  
  RESULTS
  During the 21-month study period, both patient and graft survivals were 100%. No patient showed thrombotic complications. Complications included an acute rejection episode in 1 patient, urine leakage in 2, and anticoagulation related hemorrhage in 1. All recipients had excellent graft function with normal serum creatinine ranging from 0.49 to 1.45 mg/dL and estimated glomerular filtration rate ranging from 56.89 to 145.27 mL/min/1.73 m(2).
  
  
  CONCLUSIONS
  Dual kidney transplantation from pediatric donors to adult recipients is a promising way to expand the donor pool. Using the proximal end of the AO/IVC for anastomosis brings satisfactory results.
authors: Urologic Organ Transplantation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China.
authors: S-J
authors: SJ
authors: Yu
authors: Operation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China.
authors: H-C
authors: HC
authors: Liu
authors: Urologic Organ Transplantation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China.
authors: L
authors: L
authors: Song
authors: Urologic Organ Transplantation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China.
authors: H-L
authors: HL
authors: Dai
authors: Urologic Organ Transplantation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China.
authors: F-H
authors: FH
authors: Peng
authors: Urologic Organ Transplantation Department, the Second Xiang-Ya Hospital, Central South University, Changsha, China. Electronic address: plk3000@163.com.
authors: L-K
authors: LK
authors: Peng
mesh_terms: D000328:Adult; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors; D066027:Transplant Recipients