Dual kidney transplantation from expanded criteria deceased donors: Initial experience from single center

Abstract

Aim: To evaluate results of dual kidney transplantation from expanded criteria deceased donors. Materials and Methods: Between January 2000 and December 2009, 23 dual kidney transplantations were performed from expanded criteria deceased donors; 11 were from non-heart-beating donors and 12 from brain-dead heart-beating donors. All transplantations were performed in monolateral iliac fossa. Results: Two perioperative deaths occurred due to sepsis and multiorgan failure in non-heart-beating group, and one in brain dead group. One- and five-year graft and patient survival in recipients having organs from brain-death heart-beating group were 91.67%. In non-heart-beating group, 1- and 5-year graft survival was 65.45% and 81.82%, and 1- and 5-year patient survival was 43.64% and 61.36%, respectively. Conclusion: Dual kidney transplantation from expanded criteria brain dead donors has better graft and patient survival than from non-heart-beating donors.

Keywords

• Cadaver
• cardiac death
• donation
• dual
• kidney
• marginal
• transplantation