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001-es BibID:BIBFORM064139
Első szerző:Zádori Gergely (sebész)
Cím:Results of Expanded-Criteria Donor Kidneys: A Single-Center Experience in Hungary / G. Zádori, D. Á. Kovács, R. Fedor, Z. Kanyári, L. Zsom, L. Asztalos, B. Nemes
Dátum:2015
ISSN:0041-1345
Megjegyzések:Background. To ease organ shortage, many transplant centers accept kidneys fromexpanded-criteria donors (ECDs). Our aim was to analyze the results of ECD grafts in ourcenter.Methods. Data on cadaveric donors were retrospectively analyzed between January 2011and September 2014. Definition of ECD was: (1) donor age 60 years, (2) donor age 50 to59 years, and (3) the presence of 2 among the following criteria: hypertension, serumcreatinine >1.5 mg/dL, or death from cerebrovascular accident. Standard-criteria donors(SCDs) were those who did not meet the criteria for an ECD.Results. During the observation period, 215 cadaveric donors were reported within our region,and 14 kidneys were offered to our center from Eurotransplant. Ninety-one (40%) amongthe reported donors were ECDs and 123 (54%) were SCDs. The rates of delayed graft function(DGF) and acute rejection (ARE) were not influenced by transplantation of an ECD graft. Thecumulative patient and graft survival rates for ECDs were comparable with those of patientswho received an optimal graft.Conclusions. ECD grafts can be transplanted safely, without the increased risk of DGF,ARE, and inferior patient and graft survival, in the case of careful patient allocation, andwith the use of induction therapy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Transplantation Proceedings. - 47 : 7 (2015), p. 2189-2191. -
További szerzők:Kovács Dávid Ágoston (1982-) (sebész) Fedor Roland (1975-) (sebész) Kanyári Zsolt (1964-) (orvos) Zsom Lajos (1968-) (belgyógyász, nefrológus) Asztalos László (1951-) (sebész) Nemes Balázs Áron (1969-) (sebész)
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