Medicinski vjesnik, Vol. 37 No. (1-4), 2005.
Professional paper
Kidney transplantation from non-heart-beating donor using perfusion in situ
Petar Orlić
Anton Maričić
Giampaolo Velčić
Maksim Valenčić
Romano Oguić
Vladimir Mozetić
Stanislav Stošek
Dean Markić
Josip Španjol
Kristijan Krpina
Abstract
Aim - The main obstacle in further development of kidney transplantation is a shortage of cadaveric donors. A group of patients with kidney transplant from non-heart-beating donor using a perfusion in situ was being retrospectively studied.
Patients and methods - From 1989 to 2002 we performed 21 kidney transplantations from 11 NHBD using perfusion in situ. Warm ischemia with cardiopulmonary resuscitation ranged from 12 to 85 min (mean 50 ± 24 min). Cold ischemia time ranged from 7 hrs 30 min to 26 hrs (mean 19.42 ± 3.88 hrs).
Results - Seven patients had an immediate and 11 of them delayed function of the transplant. A primary non-function of transplant was not observed.
Discussion - The use of perfusion in situ contributed to the avoidance of a primary non-function after kidney transplantation. In our terms, it provides the foundation for kidney harvesting from non-heart-beating donor in greater numbers.
Keywords
Kidney transplantation; Non-heart-beating donor; Perfusion in situ
Hrčak ID:
190871
URI
Publication date:
1.12.2005.
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