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CASE REPORT
Year : 1996  |  Volume : 12  |  Issue : 2  |  Page : 92

Outcome of transplantation of non-heart-beating donor kidneys


Dept. of Urology, SGPGIMS, Licknow, India

Correspondence Address:
M C Goel
Dept. of Urology, SGPGIMS, Licknow
India
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Source of Support: None, Conflict of Interest: None


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To reduce the shortage of kidneys for transplantation, we started a non-heart-beating (NHB) donor programme, and compared the short-term and long-term outcomes of kidneys from NHB donors with those of a matched group of kidneys from heart-beating (HB) donors. 57 NHB kidneys were procured at the University Hospital in Maastricht and at three regional hospitals in Netherlands, and were transplanted in 21 transplant centres within the Eurotransplant Exchange Organisation. 114 matched controls from HB donors were selected from Eurotransplant files. Mean follow-p was 85 months. At 6 years graft survival was 54 percent for NHB kidneys and 55 percent for kidneys; patient survival was 75 percent and 77 percent. Kidneys from NHB donors had a significantly higher rate of delayed graft function (60 percent vs 35 percent), resulting in a longer hospital stay. Primary non function of graft was seen as frequently in the NHB donor kidneygroup as in the HB group (14 percent vs 8 percent, p=0.3). We conclude that NHB donors are a valuable source of kidneys for transplantation.


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