Staggered Dual Kidney Transplantation
| Autor: | Omar Mobeen Ismail, Mahmud Saedon, Videha Sharma, Titus Augustine, Argiris Asderakis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Dual kidney transplantation Tissue and Organ Procurement 030232 urology & nephrology Renal function 030230 surgery Kidney Cold Ischemia Time 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Intensive care medicine Transplantation Deceased donor business.industry Graft Survival Kidney Transplantation Patient counselling Tissue Donors medicine.anatomical_structure Donation Both kidneys business |
| Zdroj: | Progress in Transplantation. 31:263-266 |
| ISSN: | 2164-6708 1526-9248 |
| Popis: | We describe a case where a patient received a successful dual kidney transplantation in a staggered fashion. Two kidneys from a deceased donor were accepted for 2 separate primary intended recipients, however, due to unforeseen circumstances, both kidneys were eventually transplanted in a staggered fashion into an alternate single recipient. The intention behind this method was to enhance the patient’s renal function and to prevent the wastage of a kidney. Despite the significantly prolonged cold ischemia times, the recipient has excellent dual graft function after 3 years. The positive outcome underpins the effectiveness of donor kidneys even with prolonged cold ischemia times outside established best practice guidelines. It also reinforces the effectiveness of dual kidney transplantation. Transplant professionals encounter complex situations occasionally where an established evidence-base or aids to decision-making are limited. This case reflects challenges in decision-making, patient counselling and consent, especially when the opportunity for the staggered dual kidney transplantation, with potential increased morbidity, came about as another recipient declined a usable kidney. It also highlights the widely differing risk appetites of different patients. Crucially, it optimised the donation process and procurement of 2 kidneys while preventing wastage. To our knowledge, this is the first report of a staggered dual kidney transplantation in a single recipient. |
| Databáze: | OpenAIRE |
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