title: [Kidney donors after circulatory death (DCD) - single centre experience].
abstract: BACKGROUND
  Kidney procurement from donors after circulatory death (DCD) is an important part of worldwide transplantation programmes. The first kidney transplantation from DCD was successfully performed in the Czech Republic in 2002.
  
  
  METHODS
  Forty four kidneys from DCD were procured in the Transplant Centre of Pilsen between 2002 and 2015. We used the technique of "in situ" procurement with the double balloon triple lumen catheter and 510 minutes of the no-touch interval. The method of pulsatile hypothermic perfusion was used to test the viability of the kidneys. Twenty eight recipients with mean age 51.1 (2673) years were transplanted. Sixteen (57.1%) kidneys were from the 2nd, 8 (28.6%) from the 3rd and 4 (14.3%) from the 4th category according to the Maastricht criteria.
  
  
  RESULTS
  30-day mortality and morbidity rates were 0 and 10.7% i. e.14.3% respectively (N=4). Primary non-function was presented in 2 (7.1%), and delayed graft function in 5 (17.9%) cases. One, five and ten years of recipient and graft survival rates were 100%, 86.4% and 76.7%; and 92.9%, 69.6% and 61.9%, respectively. The long-term results are fully comparable with kidneys transplanted from donors after brain death.
  
  
  CONCLUSIONS
  DCD are an important source for kidney transplantation. Kidney transplantation from DCD is a logistically, economically and personally demanding method with very good long-term results.
  
  
  BACKGROUND
  donors after circulatory death - kidney transplantation - results.
authors.forename: V
authors.initials: V
authors.lastname: Třeška
authors.forename: T
authors.initials: T
authors.lastname: Reischig
authors.forename: D
authors.initials: D
authors.lastname: Hasman
authors.forename: B
authors.initials: B
authors.lastname: Čertík
authors.forename: J
authors.initials: J
authors.lastname: Moláček
authors.forename: R
authors.initials: R
authors.lastname: Šulc
authors.forename: M
authors.initials: M
authors.lastname: Čechura
authors.forename: L
authors.initials: L
authors.lastname: Kielberger
authors.forename: K
authors.initials: K
authors.lastname: Houdek
authors.forename: V
authors.initials: V
authors.lastname: Opatrný
mesh_terms: D000328:Adult; D000368:Aged; D001926:Brain Death; D002423:Cause of Death; D018153:Czech Republic; D051799:Delayed Graft Function / Q000453:epidemiology*; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*