title: A Single Center Experience With Adult Dual Kidney Transplant.
abstract: OBJECTIVE
  Our renal transplant center in South Australian has been at the forefront of dual kidney transplants in Australia. In this study, we reviewed the 17 adult dual kidney transplants performed at our center between 1998 and 2014.
  
  
  METHODS
  We retrospectively reviewed the 17 adult dual kidney transplants performed at our center since 1998 and report data pertaining to donor demographics, preimplant function, and histology of donor kidneys, as well as postoperative outcomes of transplant recipients.
  
  
  RESULTS
  The mean age of donors was 68.5 ± 7.27 years, with 47% presenting with comorbid disease adversely affecting renal function (diabetes or hypertension). Histologic sampling of donor kidneys showed high rates of glomerular obsolescence, scarring, and vascular sclerosis. The mean age of recipients was 57.18 ± 10.93 years, with 10 patients receiving kidneys that were implanted bilaterally in each iliac fossa and 7 patients having both kidneys implanted into 1 iliac fossa. Early surgical complications (within the first 2 wk) were found in 6 patients (4 bilateral, 2 unilateral). In patients with bilaterally placed grafts, 2 developed a urinary leak, 1 lost both grafts secondary to renal vein thrombosis, and 1 lost a single graft due to renal vein thrombosis. In patients with unilaterally placed grafts, 1 had wound infection and 1 had double graft loss related to renal vein thrombosis.
  
  
  CONCLUSIONS
  Adult dual kidney transplants offer an alternative use of kidneys from marginal donors.
authors.affiliation: Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, South Australia.
authors.forename: Santosh Antony
authors.initials: SA
authors.lastname: Olakkengil
authors.forename: Kapilan
authors.initials: K
authors.lastname: Varatharajah
authors.forename: M Mohan
authors.initials: MM
authors.lastname: Rao
authors.forename: Aarti
authors.initials: A
authors.lastname: Gulyani
authors.forename: Mark
authors.initials: M
authors.lastname: Hamilton
authors.forename: Graeme
authors.initials: G
authors.lastname: Russ
authors.forename: Christine
authors.initials: C
authors.lastname: Russell
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D046148:Donor Selection; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013021:South Australia; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome