TRANSPLANTATION OF PEDIATRIC CADAVER KIDNEYS INTO ADULT RECIPIENTS

被引:40
作者
GOURLAY, W [1 ]
STOTHERS, L [1 ]
MCLOUGHLIN, MG [1 ]
MANSON, AD [1 ]
KEOWN, P [1 ]
机构
[1] UNIV BRITISH COLUMBIA, DEPT MED, DIV NEPHROL, VANCOUVER, BC V6T 1W5, CANADA
关键词
KIDNEY TRANSPLANTATION; TISSUE DONORS; ORGAN TRANSPLANTATION; PEDIATRICS;
D O I
10.1097/00005392-199502000-00006
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Between July 1987 and July 1993, 762 renal allografts were transplanted into adult recipients at our institution. A total of 83 adults received cadaveric renal transplants from donors aged 5 months to 10 years, while 100 adults who received adult cadaver kidneys during the same period served as a comparison group. Cyclosporine based immunosuppression was used. No difference between the 2 groups was found with respect to recipient age, recipient sex, primary renal disease, HLA matching or the number of recipients with a previous transplant. Actual patient (graft) survivals at 1 and 3 years were 91% (77%) and 86% (68%), respectively, for recipients of pediatric kidneys compared to 99% (92%) and 90% (80%), respectively, for recipients of adult kidneys. Pediatric kidney recipients were more likely to encounter renovascular complications (13% versus 4%, p = 0.023) and more likely to have episodes of acute rejection (p = 0.018). Serum creatinine was equal in the 2 groups at 1 year following transplantation (p = 0.63).
引用
收藏
页码:322 / 325
页数:4
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