THE VALUE OF REPEATED RENAL RETRANSPLANTATIONS

被引：11

作者：

SALMELA, K

KYLLONEN, L

EKLUND, B

ISONIEMI, H

HOCKERSTEDT, K

AHONEN, J

机构：

[1] 4th Department of Surgery, Helsinki University Central Hospital, Helsinki

来源：

TRANSPLANTATION | 1990年 / 50卷 / 06期

关键词：

D O I：

10.1097/00007890-199012000-00017

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The outcome of 64 repeated renal retransplantations (50 third, 13 fourth, and 1 fifth) during a period of 25 years was retrospectively evaluated. The prognosis of third and subsequent grafting was greatly improved if cyclosporine was included in the induction immunosuppressive regimen (one-year graft survival 79.9%, compared with 32.4% if CsA was not used). The onset of graft function was not delayed by CsA and the proportion of never functioning grafts was significantly lower (5.3%) in patients treated with CsA than in those treated without it (43.2%). Survival of the previous grafts for longer than one year favorably influenced the outcome of the subsequent grafts.

引用

页码：984 / 986

页数：3

共 13 条

[1]

Husberg B., Starzl T.E., The outcome of kidney retransplantation, Arch Surg, 108, (1974)

[2]

Opelz G., Gustafsson L.A., Terasaki P.I., Influence of interval between first graft removal and retransplantation on outcome of second cadaver kidney grafts, Transplantation, 22, (1976)

[3]

Jacobs C., Brunner E.P., Chantler C., Et al., Combined report on regular dialysis and transplantation in Europe, Proc Eur Dial Transplant Assoc, 14, (1977)

[4]

Ascher N.L., Ahrenholz D.H., Simmons R.L., Najarian J.S., 100 second renal allografts from a single transplantation institution, Transplantation, 27, (1979)

[5]

Kountz S.L., Belzer F.O., The fate of patients after renal transplantation, graft rejection and retransplantation, Ann Surg, 176, (1972)

[6]

Marni M., McMaster P., Evans D.B., Caine R.Y., Is it really worth retransplanting patients?, Proc Eur Dial Transplant Assoc, 16, (1979)

[7]

Morris P.J., Ting A., Muller G., Factors influencing surival of sequential grafts and their influence on the selection of a donor and recipient for a sequential graft, Transplantation and Clinical Immunology XIII, (1981)

[8]

Cook D.J., Long-trem surival of kidney allografts, Clinical Transplants 1987, (1987)

[9]

Cicciarelli J., Cho R.Y., Regraft kidney transplant survival, Los Angeles: UCLA Tissue Typing Laboratory, (1986)

[10]

Hayry P., Von Willebrand E., Practical guidelines for fine needle aspiration biopsy of human renal allografts, Ann Clin Res, 13, (1981)

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