Journal article
Transporting Live Donor Kidneys for Kidney Paired Donation: Initial National Results
American journal of transplantation, Vol.11(2), pp.356-360
02/01/2011
DOI: 10.1111/j.1600-6143.2010.03386.x
PMID: 21272238
Abstract
Optimizing the possibilities for kidney-paired donation (KPD) requires the participation of donor-recipient pairs from wide geographic regions. Initially it was envisaged that donors would travel to the recipient center; however, to minimize barriers to participation and simplify logistics, recent trends have involved transporting the kidneys rather than the donors. The goal of this study was to review outcomes of this practice. KPD programs throughout the United States were directly queried about all transplants involving live donor kidney transport. Early graft function was assessed by urine output in the first 8 h, postoperative serum creatinine trend, and incidence of delayed graft function. Between April 27, 2007 and April 29, 2010, 56 live donor kidneys were transported among 30 transplant centers. Median CIT was 7.2 h (IQR 5.5-9.7, range 2.5-14.5). Early urine output was robust (> 100 cc/h) in all but four patients. Creatinine nadir was < 2.0 mg/dL in all (including the four with lower urine output) but one patient, occurring at a median of 3 days (IQR 2-5, range 1-49). No patients experienced delayed graft function as defined by the need for dialysis in the first week. Current evidence suggests that live donor kidney transport is safe and feasible.
Details
- Title: Subtitle
- Transporting Live Donor Kidneys for Kidney Paired Donation: Initial National Results
- Creators
- D. L. Segev - Johns Hopkins UniversityJ. L. Veale - University of California, Los AngelesJ. C. Berger - Johns Hopkins UniversityJ. M. Hiller - Johns Hopkins UniversityR. L. Hanto - New England Organ BankD. B. Leeser - NewYork–Presbyterian HospitalS. R. Geffner - Saint Barnabas Medical CenterS. Shenoy - Washington University in St. LouisW. I. Bry - California Pacific Medical CenterS. Katznelson - California Pacific Medical CenterM. L. Melcher - Stanford UniversityM. A. Rees - University of Toledo Medical CenterE. N. S. Samara - INTEGRIS Baptist Medical CenterA. K. Israni - Hennepin County Medical CenterM. Cooper - University of Maryland, BaltimoreR. J. Montgomery - Johns Hopkins UniversityL. Malinzak - Henry Ford HospitalJ. Whiting - Maine Medical CenterD. Baran - McGill University Health CentreJ. I. Tchervenkov - McGill University Health CentreJ. P. Roberts - University of California, San FranciscoJ. Rogers - Atrium Health Wake Forest BaptistD. A. Axelrod - Dartmouth–Hitchcock Medical CenterC. E. Simpkins - Johns Hopkins UniversityR. A. Montgomery - Johns Hopkins University
- Resource Type
- Journal article
- Publication Details
- American journal of transplantation, Vol.11(2), pp.356-360
- DOI
- 10.1111/j.1600-6143.2010.03386.x
- PMID
- 21272238
- NLM abbreviation
- Am J Transplant
- ISSN
- 1600-6135
- eISSN
- 1600-6143
- Publisher
- Wiley
- Number of pages
- 5
- Language
- English
- Date published
- 02/01/2011
- Academic Unit
- Surgery
- Record Identifier
- 9984321867602771
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