RT Journal Article
T1 Kidney transplantation from uncontrolled donation after circulatory death donors maintained by nECMO has long-term outcomes comparable to standard criteria donation after brain death
A1 Molina Martín, María
A1 Guerrero Ramos, Félix
A1 Fernández Ruiz, Mario
A1 González Monte, Esther
A1 Cabrera, Jimena
A1 Morales Ruiz, Enrique
A1 Gutiérrez Martínez, Eduardo
A1 Hernández Martínez, Eduardo Rafael
A1 Polanco, Natalia
A1 Hernández Vicente, Ana
A1 Praga Terente, Manuel
A1 Rodríguez Antolín, Alfredo
A1 Pamplona Casamayor, Manuel
A1 Rosa, Federico de la
A1 Cavero, Teresa
A1 Chico, Mario
A1 Villar, Alicia
A1 Justo Alonso, Iago
A1 Andrés Belmonte, Amado
AB Uncontrolled donation after circulatory death (uDCD) increases organ availability for kidney transplant (KT) with short-term outcomes similar to those obtained from donation after brain death (DBD) donors. However, heterogeneous results in the long term have been reported. We compared 10-year outcomes between 237 KT recipients from uDCD donors maintained by normothermic extracorporeal membrane oxygenation (nECMO) and 237 patients undergoing KT from standard criteria DBD donors during the same period at our institution. We further analyzed risk factors for death-censored graft survival in the uDCD group. Delayed graft function (DGF) was more common in the uDCD group (73.4% vs 46.4%; P < .01), although glomerular filtration rates at the end of follow-up were similar in the 2 groups. uDCD and DBD groups had similar rates for 10-year death-censored graft (82.1% vs 80.4%; P = .623) and recipient survival (86.2% vs 87.6%; P = .454). Donor age >50 years was associated with graft loss in the uDCD group (hazard ratio: 1.91; P = .058), whereas the occurrence of DGF showed no significant effect. uDCD KT under nECMO support resulted in similar graft function and long-term outcomes compared with KT from standard criteria DBD donors. Increased donor age could negatively affect graft survival after uDCD donation.
PB Elsevier
SN 1600-6135
YR 2018
FD 2018-06-27
LK https://hdl.handle.net/20.500.14352/98838
UL https://hdl.handle.net/20.500.14352/98838
LA eng
NO Molina M, Guerrero-Ramos F, Fernández-Ruiz M, González E, Cabrera J, Morales E, Gutierrez E, Hernández E, Polanco N, Hernández A, Praga M, Rodriguez-Antolín A, Pamplona M, de la Rosa F, Cavero T, Chico M, Villar A, Justo I, Andrés A. Kidney transplant from uncontrolled donation after circulatory death donors maintained by nECMO has long-term outcomes comparable to standard criteria donation after brain death. Am J Transplant. 2019 Feb;19(2):434-447. doi: 10.1111/ajt.14991
DS Docta Complutense
RD 4 ago 2024