title: Midterm Results of Renal Transplantation From Controlled Cardiac Death Donors Are Similar to Those From Brain Death Donors.
abstract: BACKGROUND
  The systematic use of grafts from controlled donors after cardiac death (cDCD) started in our country in 2012 and expanded with the strategic support of National Transplant Organization. We present our experience in kidney transplantation with organs from cDCD donors with a mean follow-up of 3 years.
  
  
  METHODS
  Observational prospective study of all transplants performed in our center in 2012-2013 followed to 2016. The immunosuppression protocols were triple therapy for low-risk recipients from a standard brain death donor (DBD), adding basiliximab or thymoglobulin induction for extended-criteria donor or high-risk recipient, respectively, and thymoglobulin induction plus triple therapy for all cDCD recipients.
  
  
  RESULTS
  A total of 42 donors were included (84 grafts in total, but 1 discarded due to multiple cysts); 25 DBD and 17 cDCD without differences in age or sex. The graft use rate was 98.9% for cDCD; 55 grafts were implanted in our hospital (26 DBD and 29 cDCD), and the remaining 28 grafts were transferred to other centers. There were no differences in primary failure (3.4% cDCD vs 7.4% DBD), but the cDCD organs had a higher incidence of delayed graft function (51.7% vs 25.9%). Despite that, graft and patient survivals, as well as glomerular filtration rate (66.3 vs 59.6 mL/min) were similar in both groups. Only 1 patient died at home with a functioning graft in the cDCD group.
  
  
  CONCLUSIONS
  Despite a higher rate of delayed graft function with cDCD, the midterm outcomes are at least similar to those with DBD. The cDCD programs should be promoted to increase the chances of a transplant in our patients.
authors.affiliation: Nephrology Department, Hospital Infanta Cristina, Parla, Spain.
authors.forename: O
authors.initials: O
authors.lastname: Lafuente
authors.affiliation: Transplant and Nephrology Department, Hospital Universitario Puerta de Hierro, Majadahonda, Spain; Red de Investigación Renal, Madrid, Spain.
authors.forename: B
authors.initials: B
authors.lastname: Sánchez-Sobrino
authors.affiliation: Red de Investigación Renal, Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Pérez
authors.affiliation: Transplant and Nephrology Department, Hospital Universitario Puerta de Hierro, Majadahonda, Spain.
authors.forename: P
authors.initials: P
authors.lastname: López-Sánchez
authors.affiliation: Red de Investigación Renal, Madrid, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Janeiro
authors.affiliation: Red de Investigación Renal, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Rubio
authors.affiliation: Red de Investigación Renal, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Huerta
authors.affiliation: Red de Investigación Renal, Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Marques
authors.affiliation: Transplant and Nephrology Department, Hospital Universitario Puerta de Hierro, Majadahonda, Spain; Red de Investigación Renal, Madrid, Spain.
authors.forename: M R
authors.initials: MR
authors.lastname: Llópez-Carratala
authors.affiliation: Intensive Care Unit, Hospital Universitario Puerta de Hierro, Majadahonda, Spain.
authors.forename: J J
authors.initials: JJ
authors.lastname: Rubio
authors.affiliation: Red de Investigación Renal, Madrid, Spain. Electronic address: josem.portoles@salud.madrid.org.
authors.forename: J
authors.initials: J
authors.lastname: Portolés
mesh_terms: D000328:Adult; D000961:Antilymphocyte Serum / Q000378:metabolism; D001926:Brain Death; D002423:Cause of Death; D003643:Death; D051799:Delayed Graft Function / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005919:Glomerular Filtration Rate; D006085:Graft Survival; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods; D015994:Incidence; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014019:Tissue Donors; D019737:Transplants; D016896:Treatment Outcome
chemical_list: D000961:Antilymphocyte Serum; C512542:thymoglobulin