scholarly journals Donor organ preservation techniques for kidney transplantation

Author(s):  
Colin H Wilson ◽  
John F Asher ◽  
David Talbot
1996 ◽  
Vol 4 (1) ◽  
pp. 4-13
Author(s):  
David D Yuh ◽  
Robert C Robbins ◽  
Bruce A Reitz

Heart and heart-lung transplantation have been established as effective treatments for a wide variety of end-stage cardiopulmonary diseases. Recent years have seen refinements in surgical techniques for cardiopulmonary replacement as well as the selection and postoperative care of thoracic transplant recipients. Despite substantial clinical progress, however, significant problems remain, particularly donor organ shortage, graft rejection, opportunistic infection, and limited organ preservation techniques. Basic and clinical research are currently addressing these problems. In this brief review, we provide an update of our experiences with heart and heart-lung transplantation in the West (particularly at Stanford University), an outline of the active issues in the field, and some thoughts about the development of thoracic transplantation in Asia.


2020 ◽  
Vol 18 (2) ◽  
pp. 88-93
Author(s):  
Azfar Uddin Shaikh ◽  
Md Waliul Islam ◽  
Md Abul Hossain ◽  
Mohammed Mizanur Rahman ◽  
Zannatul Ferdous

Objective: To find out the appropriate strategies to increase the donor pool for kidney transplantation. Methodology: The PubMed literature database was searched from 2015 to 20 years backward. Strategies to increase and improve live donor KT were suggested. In order to formulate some suggestions to reach that target, related experience and strategies published in journals of last 20 years both from developed and developing countries, were reviewed. Results: Strategies to increase and improve live donor KT were suggested .Only Live donor KT can never fulfil the demand of KT. The most important step to boost up KT program is to start deceased Donor Organ Transplantation and by formulating a law and establishing infrastructure. Development of National Kidney Transplant Registry and coordination of KT at National level is also very important. Those patients who cannot afford expenditure for KT and post-transplant care, can be supported by raising fund at national and international level. Conclusion: To increase living donor KT, techniques of increased graft survival, donor and recipient comfort, confidence and safety should be established . Inclusion of both brain death (BD) and Deceased Circulatory Death (DCD) in Deceased Donor pool will be good option for increasing donor pool. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.88-93


2016 ◽  
Vol 100 (9) ◽  
pp. 1801-1802 ◽  
Author(s):  
James P. Hunter ◽  
Rutger J. Ploeg

2015 ◽  
Vol 29 (9) ◽  
pp. 974-984 ◽  
Author(s):  
Heiko M. Mundt ◽  
Benito A. Yard ◽  
Bernhard K. Krämer ◽  
Urs Benck ◽  
Peter Schnülle

Author(s):  
N. V. Shmarina ◽  
I. V. Dmitriev ◽  
B. Z. Khubutiya ◽  
A. V. Pinchuk

Introduction:The expansion of the criteria for donor organ retrieval contributes to an increase in the number of kidney transplantations to elderly recipients; but in view of reduced requirements to donor organ quality, a further analysis of transplantation outcomes is needed. The aim was to analyze and compare the outcomes of kidney transplantation to elderly patients depending on the donor organ quality.Material and methods.The study was based on the analysis of the kidney transplantation outcomes in 61 elderly recipients, including 51 transplantations performed from expanded criteria donors (group 1), and other 10 from standard donors (group 2). Based on clinical, laboratory, histological, and instrumental diagnostic data, we compared the graft function recovery rates, graft/recipient survival rates, the causes of graft loss in the early posttransplant period.Results:Patients of group I had significantly higher delayed graft function rates (37.3% vs. 10%), graft non-function rates (15.7% vs. 0%), and lower early posttransplant survival rates (72.5% vs. 100%). Graft function recovery rate was 58.8% in group I, and 100% in the patients of group II. The most common cause of the graft loss and the renal graft removals performed in the early posttransplant period was the poor graft quality due to the donor's existing pathology.Conclusion.The study demonstrated a statistically significant deterioration of the initial graft function, significantly increased graft non-function rates, and decreased graft survival rates in the early posttransplant period in the elderly recipients after kidney transplantation from expanded criteria donors.


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