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Successful transplantation of kidneys from deceased donors with terminal acute kidney injury

2019; Taylor & Francis; Volume: 41; Issue: 1 Linguagem: Inglês

10.1080/0886022x.2019.1590209

1525-6049

Piotr Domagała, Łukasz Górski, Michał Wszoła, R. Kieszek, Piotr Diuwe, Piotr Góralski, Jakub Drozdowski, Agata Ostaszewska, Jolanta Gozdowska, Michał Ciszek, Janusz Trzebicki, Magdalena Durlik, Leszek Pączek, A. Chmura, Artur Kwiatkowski,

Organ Transplantation Techniques and Outcomes

There are many doubts with regards to accepting deceased kidneys with acute kidney injury (AKI) for transplantation.The aim of this study was to present the 5-years outcome of kidney transplantation cases where deceased donors developed AKI before organ procurement.Two hundred twenty-six deceased renal transplants were analyzed. Data regarding donors and recipients were collected. Terminal AKI was defined as terminal serum creatinine concentration higher than 1.99 mg/dL and 66 such cases were diagnosed. All kidney transplant recipients were followed for 60 months.AKI group presented more episodes of delayed graft function (DGF) compared to the non-AKI group (56% vs 35%, p < .05). No differences were observed between the groups in the rate of acute rejection episodes, kidney function as well as patient and graft survival.Transplants with AKI present more often DGF and comparable graft survival to transplants without AKI. Kidneys with AKI can be a valuable source of organs provided attentive selection and appropriate care of deceased donors.