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Agonal period in potential non-heart-beating donors.

Abstract：

:The shortage of donor kidneys for renal transplantation is becoming more severe as the gap between the number of patients waiting for renal transplantation and the number of cadaveric organs available continues to widen. Therefore, many centres have started using non-heart-beating (NHB) donors. There was no clear plan for maximal duration of agonal period in Maastricht category NHB donors after withdrawal of treatment in Newcastle. This withdrawal has been audited in retrospect. Our current wait time is now a maximum of 5 hours; however, previously there have been some considerably longer periods. Concern has always been expressed about poor quality with protracted periods. Nonuse in this review of 58 kidneys can be expressed against time: 0 to 2 hours 13%, 2 to 5 hours 33%, and >5 hours 45%. Therefore, though the nonuse rate was significantly different between 0 to 2 hours and >5 hours (P < .05, chi-square), there were 16 transplants performed with kidneys >2 hours and 12 transplanted >5 hours. In conclusion, although good usable kidneys can still be used with protracted withdrawal, there are considerable logistical difficulties with our 5-hour cut-off, which means that one third of potential kidneys will not be utilized.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Sohrabi S,Navarro A,Asher J,Wilson C,Sanni A,Wyrley-Birch H,Anand V,Reddy M,Rix D,Jacques B,Manas D,Talbot D

doi

10.1016/j.transproceed.2006.08.005

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

2629-30

issue

8

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00901-8

journal_volume

38

pub_type

杂志文章

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