[Pediatric renal transplantation from young children donors (aged < or = 6 years). Complications and functional clinical course].

Abstract:

GOALS:To evaluate functional results and complications in a group of pediatric patients who received kidney transplants from donors aged 6 years or less. MATERIAL & METHODS:Thirty-four consecutive renal transplants were reviewed. Of 34 patients, 19 (55.8%) received kidneys from donors aged below 3 years (Group A) and 15 (44.2%) from donors aged 3-6 years (Group B). Long-term functional patient and graft survival results along with complications were compared in both groups. RESULTS:Seven patients in group A (36.7%) had vascular complications, in comparison to 3 in group B (20%, p<0.05). Kidneys preserved in Eurocollins (EC) solution had more vascular complications (35.3%) in comparison to University of Wisconsin (UW) solution kidneys (23.5%, p<0.05). Ten-year graft survival rate in group A was significantly lower in comparison to group B (35.5% vs 58.6%, p<0.05). In relation to preservation solution type used, 10-year graft survival rate was also significantly better in UW group (26.8% vs 63%, p<0.001). CONCLUSIONS:The exclusion of donors younger than 3 years and the utilization of optimal preservation solutions produces a decrease in figures of vascular complications and a significant improvement in graft survival rates.

journal_name

Actas Urol Esp

authors

Lledó García E,Díez Cordero JM,Subirá Ríos D,Castaño González I,Moralejo Gárate M,Martínez-Salamanca JI,Hernández Fernández C,Luque de Pablos A

doi

10.1016/s0210-4806(04)73034-x

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

40-8

issue

1

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(04)73034-X

journal_volume

28

pub_type

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