A report on the activity and clinical outcomes of renal non-heart beating donor transplantation in the United Kingdom

:  The use of kidneys from non‐heart beating donors (NHBDs) presents a paradox; whilst they provide more organs for transplantation, there is an increased risk of poor graft outcome, particularly in the short term. This study has highlighted the difference in early graft function and late graft surv...

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Bibliographic Details
Published in:Clinical transplantation 2004-12, Vol.18 (6), p.627-633
Main Authors: Brook, Nicholas R, Waller, Julian R, Richardson, Amanda C, Andrew Bradley, J, Andrews, Peter A, Koffman, Geoff, Gok, Mohammed, Talbot, David, Nicholson, Michael L
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
allograft survival
Biological and medical sciences
Cardiology. Vascular system
Death
delayed graft function
Female
Heart - physiopathology
Humans
Kidney Transplantation
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
non-heart beating donor
primary non-function
Tissue Donors
Treatment Outcome
United Kingdom
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Summary::  The use of kidneys from non‐heart beating donors (NHBDs) presents a paradox; whilst they provide more organs for transplantation, there is an increased risk of poor graft outcome, particularly in the short term. This study has highlighted the difference in early graft function and late graft survival between NHBD kidneys with short (controlled) and long (uncontrolled) warm ischaemic times. Whilst it would seem that it is preferable to use controlled donors only, their numbers are small. By employing a rational approach to the use of each of these types of kidney, such as structured viability assessment and risk analysis, it may be that the results of uncontrolled NHBD can be improved.
ISSN:0902-0063
1399-0012
DOI:10.1111/j.1399-0012.2004.00287.x