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ID 17686
file
creator
Marubayashi, Seiji
Tokita, Daisuke
Hara, Hidetaka
Onoe, Takashi
Kitayama, Teruhiko
Hayamizu, Keisuke
Okumoto, Satoshi
Taniguchi, Yoshihiko
Fukuda, Yasuhiko
Dohi, Kiyohiko
subject
Renal transplantation
Non-heart-beating donors
Early graft function
NDC
Medical sciences
abstract
This study was performed to analyze postoperative courses and complications, retrospectively, following transplants from non-heart-beating donors and to examine the correlation between early graft function and clinical parameters. We experienced 11 cases of kidney transplants from non-heart-beating donors during the period from April 1995 to May 2003. Warm ischemic time was less than 30 min in all cases, and total ischemic time ranged from 8.4 hours to 27.9 hours. Rejection reactions occurred in seven cases, two of which were vascular rejections. Infectious disease complications included CMV in two cases, interstitial pneumonia in one case and fungal infection in one case. One patient died from interstitial pneumonia, and three patients had to be restarted on dialysis due to loss of function of the grafted kidney. The remaining seven patients all made full recoveries. All of the 16 patients who underwent living related kidney transplantations during the same period made full recoveries. Both the donor's gender and the latest creatinine level of the donor influenced the posttransplant dialysis period. The posttransplant dialysis period significantly influenced the creatinine level one month after transplant. These results suggest that patients who undergo kidney transplants from nonheart-beating donors have higher rates of complications than patients who undergo living related kidney transplantation. It is important that, in cases where the donor's creatinine level is high, especially when the donor is male, the kidney is carefully retrieved and transported to the recipent hospital to shorten the ischemic period as much as possible.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 53
issue
Issue 1
start page
7
end page
11
date of issued
2004-03
publisher
Hiroshima University Medical Press
国立情報学研究所
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
University Medical Hospital
Graduate School of Biomedical Science
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