Professional paper
Kidney Transplantation in Elderly Patients
Dean Markić
Maksim Valenčić
Romano Oguić
Sanjin Rački
Željko Fučkar
Abstract
The Eurotransplant Senior Program (ESP) allocates kidneys from elderly donors to elderly recipients (³65 years old).
During the last 39 years, 922 kidney transplantations were performed in our transplant center. We retrospectively analysed
patients included in the ESP from the our center. Eleven patients ³65 years old recieved kidney from donors ³ 65
years old. Cold ischemia time was approximately 15 hours. Dual kidney transplantation was performed in one patient.
Appropriate immunosuppressive protocol was given to all patients. Surgical complications were relatively common and
included dissection of renal artery (1 patient), thrombosis of renal artery (1 patient), ureterovesical obstruction (1), lymphocele
(1), bleeding (1), acute abdomen (2) and wound dehiscence (1). One rejection episode was registered. Delayed
graft function was observed in the two patients with full recovery of kidney function. Seven patients until now have good
functioning graft. Four kidneys were lost. One patient died because of pneumonia. Kidney transplantation in elderly is
feasible procedure but with greater number of complications than usually.
Keywords
renal transplantation; elderly renal transplant recipient; Eurotransplant Senior Program; surgical complications
Hrčak ID:
72260
URI
Publication date:
25.9.2011.
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