"Expanding the limits". Three-year follow-up of renal transplant recipients from a deceased donor with creatinine greater than 5 mg/dl. Report of three cases

Cir Cir. 2019;87(S1):68-72. doi: 10.24875/CIRU.19000810.

Abstract

Due the shortage of organ donors and the increase in the waiting list of kidney transplant recipients (KTR), alternative strategies have been considered with the aim of increasing the number of organs available. The use of kidneys from donors with acute renal failure and elevated serum creatinine has been considered as a way to increase the number of donors. The objective of this work is to report the 3-year follow-up of three KTR patients of a deceased donor with serum creatinine greater than or equal to 5 mg/dL.

Ante la escasez de donadores de órganos y el incremento en la lista de espera de receptores de trasplante renal (RTR) se han considerado medidas alternativas con el objetivo de aumentar el número de órganos disponibles. El uso de riñones de donadores con insuficiencia renal aguda y creatinina sérica terminal elevada se ha considerado un camino para incrementar el número de donadores. El objetivo de este trabajo es notificar el seguimiento a tres años de tres pacientes RTR de donador fallecido con creatinina sérica ≥ 5 mg/dl.

Keywords: Acute renal failure; Deceased donor; Donador cadavérico; Glomerular filtration rate; Lesión renal aguda; Renal transplant; Tasa de filtración glomerular; Trasplante renal.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / blood*
  • Adult
  • Cadaver
  • Carcinoma, Renal Cell / surgery
  • Creatinine / blood*
  • Diabetic Nephropathies / complications
  • Female
  • Follow-Up Studies
  • Glomerular Filtration Rate
  • Graft Survival
  • Humans
  • Kidney / physiology
  • Kidney Failure, Chronic / etiology
  • Kidney Failure, Chronic / surgery
  • Kidney Neoplasms / surgery
  • Kidney Transplantation*
  • Male
  • Nephrectomy
  • Reoperation
  • Tissue Donors*
  • Tissue and Organ Procurement / standards*
  • Transplants / physiology
  • Treatment Outcome
  • Vesico-Ureteral Reflux / complications
  • Young Adult

Substances

  • Creatinine