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MP37-03 KIDNEY TRANSPLANTATION FROM MARGINAL DONORS: AN INCREASED RISK OF URINARY COMPLICATION. STUDY FROM 10279 PATIENTS

2021; Lippincott Williams & Wilkins; Volume: 206; Issue: Supplement 3 Linguagem: Inglês

10.1097/ju.0000000000002046.03

1527-3792

Benoît Mesnard, Maxime Leroy, James Hunter, Delphine Kervella, Marc‐Olivier Timsit, Lionel Badet, Pascal Glémain, Emmanuel Morélon, Fanny Buron, Moglie Le Quintrec-Donette, Vincent Pernin, Marc Ladrière, Sophie Girerd, Christophe Legendre, A Sicard, Laeticia Albano, S. De Vergie, Clarisse Kerleau, Thomas Prudhomme, J. Rigaud, Diego Cantarovich, G. Blanchot, G. Karam, Magali Giral, Simon Ville, Julien Branchereau,

Organ and Tissue Transplantation Research

You have accessJournal of UrologyRenal Transplantation & Vascular Surgery I (MP37)1 Sep 2021MP37-03 KIDNEY TRANSPLANTATION FROM MARGINAL DONORS: AN INCREASED RISK OF URINARY COMPLICATION. STUDY FROM 10279 PATIENTS Benoît Mesnard, Maxime Leroy, James Hunter, Delphine kervella, Marc-Olivier Timsit, Lionel Badet, Pascal Glemain, Emmanuel Morelon, Fanny Buron, Moglie Le Quintrec-Donette, Vincent Pernin, Marc Ladriere, Sophie Girerd, Christophe Legendre, Antoine Sicard, Laeticia Albano, Stéphane De Vergie, Clarisse Kerleau, Thomas Prudhomme, Jérôme Rigaud, Diego Cantarovich, Gilles Blanchot, Georges karam, Magali Giral, Simon Ville, and Julien Branchereau Benoît MesnardBenoît Mesnard More articles by this author , Maxime LeroyMaxime Leroy More articles by this author , James HunterJames Hunter More articles by this author , Delphine kervellaDelphine kervella More articles by this author , Marc-Olivier TimsitMarc-Olivier Timsit More articles by this author , Lionel BadetLionel Badet More articles by this author , Pascal GlemainPascal Glemain More articles by this author , Emmanuel MorelonEmmanuel Morelon More articles by this author , Fanny BuronFanny Buron More articles by this author , Moglie Le Quintrec-DonetteMoglie Le Quintrec-Donette More articles by this author , Vincent PerninVincent Pernin More articles by this author , Marc LadriereMarc Ladriere More articles by this author , Sophie GirerdSophie Girerd More articles by this author , Christophe LegendreChristophe Legendre More articles by this author , Antoine SicardAntoine Sicard More articles by this author , Laeticia AlbanoLaeticia Albano More articles by this author , Stéphane De VergieStéphane De Vergie More articles by this author , Clarisse KerleauClarisse Kerleau More articles by this author , Thomas PrudhommeThomas Prudhomme More articles by this author , Jérôme RigaudJérôme Rigaud More articles by this author , Diego CantarovichDiego Cantarovich More articles by this author , Gilles BlanchotGilles Blanchot More articles by this author , Georges karam Georges karam More articles by this author , Magali GiralMagali Giral More articles by this author , Simon VilleSimon Ville More articles by this author , and Julien BranchereauJulien Branchereau More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002046.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Due to the increasing need of kidneys suitable for transplantation, we have expanded the donor population to include marginal donors (Extended criteria donor, controlled and uncontrolled donation after circulatory death). The implication of such a strategy in terms of urinary complications has only been marginally analysed. The objective of this work is to evaluate the impact of marginal donors on urological complications. METHODS: Between January 1, 2002 and January 1, 2018, 10279 kidney transplants in adult recipients were recorded within the DIVAT network (Computerized and VAlidated Data in Transplantation). Data were extracted in relation to 44 pre- and post-operative variables, ECD status was included, according to United Network for Organ Sharing definition (UNOS). The main analysis focused on associations between the donor ECD/SCD status, donor type (DBD, uncontrolled/controlled DCD) and urinary complications at 1 year. RESULTS: Overall urological complication rate was 16.26%. The donor's ECD status was significantly associated with an increased risk of urinary complications at 1 year in Multivariate analysis (OR: 1.50 (1.31-1.71), p<0.001). There is no association between donor type and urinary complication. The placement of an endo-ureteric stent was beneficial in preventing urinary complications in all donors and particularly in ECD donors. The presence of an urinary complication in the first year seems to be associated with the occurrence of transplant failure after one year. CONCLUSIONS: The donor's ECD status is associated with stenosis and ureteric fistulas at 1 year. Recipients of grafts from ECD donors should probably be considered for closer urological monitoring and systematic preventive measures. Urological skill and urologists involvement in kidney transplantation could contribute to reduce the associated risk of these complications regarding to these outcomes. Source of Funding: Institutional Funding : DIVAT Consortium © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e646-e646 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benoît Mesnard More articles by this author Maxime Leroy More articles by this author James Hunter More articles by this author Delphine kervella More articles by this author Marc-Olivier Timsit More articles by this author Lionel Badet More articles by this author Pascal Glemain More articles by this author Emmanuel Morelon More articles by this author Fanny Buron More articles by this author Moglie Le Quintrec-Donette More articles by this author Vincent Pernin More articles by this author Marc Ladriere More articles by this author Sophie Girerd More articles by this author Christophe Legendre More articles by this author Antoine Sicard More articles by this author Laeticia Albano More articles by this author Stéphane De Vergie More articles by this author Clarisse Kerleau More articles by this author Thomas Prudhomme More articles by this author Jérôme Rigaud More articles by this author Diego Cantarovich More articles by this author Gilles Blanchot More articles by this author Georges karam More articles by this author Magali Giral More articles by this author Simon Ville More articles by this author Julien Branchereau More articles by this author Expand All Advertisement PDF downloadLoading ...