Safety of Elderly Living Kidney Donors: 2 Cases of Donors Older Than 80 Years: A Case Report.

Abstract:

:Much controversy exists over the performance of elderly living donor kidney transplantation. We report the safety of 2 cases of elderly living kidney donations in our hospital. CASE 1: An 82-year-old man was a living kidney donor for his 56-year-old son. The donor suffered from hypertension, but has successfully managed his blood pressure with only one medication. His serum creatinine was 0.7 mg/dL and inulin clearance was 122.5 mL/min, which met the usual criteria for living kidney donors. This was his son's secondary kidney transplantation, and no other donors existed. CASE 2: An 80-year-old woman was a living kidney donor for her 45-year-old son. Her serum creatinine was 0.61 mg/dL and inulin clearance was 71.7 mL/min, which met the marginal kidney donor criteria. In both cases, we determined that the donor kidney function was acceptable. Though we explained the risks of the transplantation thoroughly, the patients' strong will to offer a kidney to their family member did not change. We decided to carry out the transplantation. At the time of publication, nearly 2 years have passed since the transplantation, but both donors and recipients are doing well. In the future, it seems more likely that the number of elderly living donor kidney transplantation will rise. On one hand, there is no absolute contraindication for elderly donors, while on the other hand, the criteria for a living kidney donor must be strictly examined. Furthermore, careful observation of both donors and recipients after transplantation is required.

journal_name

Transplant Proc

authors

Hirano H,Maenosono R,Matsunaga T,Uehara H,Nomi H,Ichihashi A,Kobayashi D,Taniguchi S,Tsutsumi T,Tsujino T,Komura K,Ibuki N,Inamoto T,Azuma H

doi

10.1016/j.transproceed.2018.03.093

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

2569-2571

issue

8

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(18)30428-7

journal_volume

50

pub_type

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