Kidney Transplantation From Donors After Cardiac Death: An Initial Report of 71 Cases From China

被引：30

作者：

Chen, G. -D. ^{[1
]}

Ko, D. Shiu-Chung ^{[2
,3
]}

Wang, C. -X. ^{[1
]}

Qiu, J. ^{[1
]}

Han, M. ^{[1
]}

He, X. -S. ^{[1
]}

Chen, L. -Z. ^{[1
]}

机构：

[1] Sun Yat Sen Univ, Affiliated Hosp 1, Organ Transplant Ctr, Guangzhou 510275, Guangdong, Peoples R China

[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Dept Urol, Boston, MA 02115 USA

[3] Harvard Univ, Sch Med, Dept Surg, Div Transplantat,Massachusetts Gen Hosp, Boston, MA 02115 USA

来源：

AMERICAN JOURNAL OF TRANSPLANTATION | 2013年 / 13卷 / 05期

关键词：

Cardiac death donors; kidney transplantation; outcome; risk factors; DONATION; RECIPIENTS;

D O I：

10.1111/ajt.12190

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Shortage of deceased donors is a severe problem in recent years in China especially in a culture in which brain death criteria is not widely accepted. Donation after cardiac death (DCD) has been reported to expand the donor pool despite higher rates of primary nonfunction (PNF) and delayed graft function (DGF) after transplantation. We collected 71 DCD kidney transplants performed at our hospital between February, 2007 and June, 2012 with aims to demonstrate the feasibility of DCD donation in China. All patients were followed up, and postoperative complications and graft loss were recorded. The PNF rate was 2.8%, and DGF rate was 28.2%. The 1- and 3-year graft survival was 95.7% and 92.4%. In conclusion, graft survival of DCD kidney transplantation in China is excellent despite of higher rates of PNF and DGF after transplantation.

引用

页码：1323 / 1326

页数：4

共 10 条

[1] Case-matched comparison of long-term results of non-heart beating and heart-beating donor renal transplants [J].

Barlow, A. D. ;

Metcalfe, M. S. ;

Johari, Y. ;

Elwell, R. ;

Veitch, P. S. ;

Nicholson, M. L. .

BRITISH JOURNAL OF SURGERY, 2009, 96 (06) :685-691

[2]

BEECHER H K, 1968, Journal of the American Medical Association, V205, P337

[3] Donation after cardiac death: A 29-year experience [J].

Bellingham, Janet M. ;

Santhanakrishnan, Chandrasekar ;

Neidlinger, Nikole ;

Wai, Philip ;

Kim, Jim ;

Niederhaus, Silke ;

Leverson, Glen E. ;

Fernandez, Luis A. ;

Foley, David P. ;

Mezrich, Joshua D. ;

Odorico, Jon S. ;

Love, Robert B. ;

De Oliveira, Nilto ;

Sollinger, Hans W. ;

D'Alessandro, Anthony M. .

SURGERY, 2011, 150 (04) :692-700

[4]

[陈国栋 CHEN Guo-dong], 2009, [中华肾脏病杂志, Chinese Journal of Nephrology], V25, P867

[5] Kidney Transplantation from Donors after Cardiac Death: Uncontrolled versus Controlled Donation [J].

Hoogland, E. R. P. ;

Snoeijs, M. G. J. ;

Winkens, B. ;

Christaans, M. H. L. ;

van Heurn, L. W. E. .

AMERICAN JOURNAL OF TRANSPLANTATION, 2011, 11 (07) :1427-1434

[6] A pilot programme of organ donation after cardiac death in China [J].

Huang, Jiefu ;

Millis, J. Michael ;

Mao, Yilei ;

Millis, M. Andrew ;

Sang, Xinting ;

Zhong, Shouxian .

LANCET, 2012, 379 (9818) :862-865

[7] Assessing glomerular filtration rate by estimation equations in kidney transplant recipients [J].

Poggio, ED ;

Wang, X ;

Weinstein, DM ;

Issa, N ;

Dennis, VW ;

Braun, WE ;

Hall, R .

AMERICAN JOURNAL OF TRANSPLANTATION, 2006, 6 (01) :100-108

[8] Kidneys from Donors after Cardiac Death Provide Survival Benefit [J].

Snoeijs, Maarten G. ;

Schaubel, Douglas E. ;

Hene, Ronald ;

Hoitsma, Andries J. ;

Idu, Mirza M. ;

Ijzermans, Jan N. ;

Ploeg, Rutger J. ;

Ringers, Jan ;

Christiaans, Maarten H. ;

Buurman, Wim A. ;

van Heurn, L. W. Ernest .

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2010, 21 (06) :1015-1021

[9] Analysis of factors that affect outcome after transplantation of kidneys donated after cardiac death in the UK: a cohort study [J].

Summers, Dominic M. ;

Johnson, Rachel J. ;

Allen, Joanne ;

Fuggle, Susan V. ;

Collett, David ;

Watson, Christopher J. ;

Bradley, J. Andrew .

LANCET, 2010, 376 (9749) :1303-1311

[10] Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. [J].

Wolfe, RA ;

Ashby, VB ;

Milford, EL ;

Ojo, AO ;

Ettenger, RE ;

Agodoa, LYC ;

Held, PJ ;

Port, FK .

NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (23) :1725-1730

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