Dual Kidney Transplantation
Authors:
P. Baláž; S. Rokošný; M. Adamec; O. Viklický *; E. Pokorná **; M. Bürgelová *; Š. Vítko **
Authors‘ workplace:
Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, Praha, přednosta kliniky
prof. MUDr. M. Adamec, CSc.
; Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, Praha, přednosta kliniky
Klinika nefrologie, Institut klinické a experimentální medicíny, Praha, přednosta kliniky:
Klinika transplantační chirurgie, Institut klinické a experi
*; Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, Praha, přednosta kliniky
Středisko odběru orgánů, Institut klinické a experimentální medicíny, Praha, přednosta transplantcentra: MUDr. Š. Vítko, CSc.
**
Published in:
Rozhl. Chir., 2008, roč. 87, č. 1, s. 50-54.
Category:
Monothematic special - Original
Overview
Despite the increasing demand for organs for transplantation, the number of cadaveric donors remains stable and waiting time for transplantation is gradually getting longer. In addition to the options of using kidneys from living donors and those of non-heart-beating donors (NHBD), an alternative approach is transplantation of both kidneys from adult marginal donors who would otherwise be considered unsuitable for single-kidney donation. Dual kidney transplantation involves the use of both kidneys from a marginal donor for a single recipient without the recipient having to cope with the drawbacks of a limited number of functioning nephrons. Normally, these kidneys would be excluded from the transplantation program and remain unused. The submitted presentation provides information on donor and recipient selection criteria and describes the course of the first dual kidney transplantation in an adult recipient in the Czech Republic.
Key words:
dual – transplantation – kidney
Sources
1. http://www.optn.org./
2. Wolfe, R. A., Ashby, V. B., Milford, E. L., et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation , and recipients of a first cadaveric transplant. N. Engl. J. Med., 1999, roč. 341, s. 1725–1730.
3. Metzger, R. A., Delmonico, F. L., Feng, S., et al. Expanded criteria donors for kidney transplantation. Am. J. Transplant., 2003, roč. 4, s. 114–125.
4. Bunnapradist, S., Gritsch, H. A., Peng, A., et al. Dual kidneys from marginal adult donors as a source for cadaveric renal transplantation in the United States. J. Am. Soc. Nephrol., 2003, roč. 14, s. 1031–1036.
5. Remuzzi, G., Grinyo, J., Ruggenenti, P., et al. Early expirience with dual kidney transplantation in adults using expanded donor criteria. J. Am. Soc. Nephrol., 1999, roč. 10, s. 2591–2598.
6. Moore, P. S., Farney, A. C., Sundberg, A. K., et al. Dual kidney transplantation: a case-control comparison with single kidney transplantation from standard and expanded criteria donors. Transplantation, 2007, roč. 27, s. 1551–1556.
7. Remuzzi, G., Cravedi, P., Perna, A., et al. Long-term outcome of renal transplantation from older donors. N. Engl. J. Med., 2006, roč. 26, s. 343–352.
8. Bertelli, R., Varotti, G., Puviani, L., et al. Bologna transplant center results in double kidney transplantation. Transplant. Proc., 2007, roč. 39, s. 1833–1834.
9. Bunnapradist, S., Gritsch, H. A., Peng, A., et al. Dual kidneys from marginal adult donors as a source for cadaveric renal transplantation in the United States. J. Am. Soc. Nephrol., 2003, roč. 14, s. 1031–1036.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 1
Most read in this issue
- New Options for Management of Posttraumatic Articular Cartilage Defects
- K-ras Mutation as a Prognostic Factor in Colorectal Carcinoma
- Variations of Primary Spontaneous Pneumothorax Management
- Implementation of POSSUM Scoring System in Assessing Morbidity after Laparoscopic Colorectal Surgery