French Controlled Donation After Circulatory Arrest (Cdcd) Program : First Results
Morressier, 2017
Online
unknown
The national protocol for the cDCD program authorised in France since 2014 demands selection criteria as donor age u226465 y, functional warm ischemia time (fWIT) 180 min (8%) and logistical problem (7.6%). Mean fWIT are 36 min (kidney only), 22 min (liver and kidney). nRP was used in all utilised donors after mean circulatory arrest delay of 25 min. Mean renal CIT was 10,4h. The aim of this study was to compare primary non function (PNF), delayed graft function (DGF) and length of stay in hospital after 1st single kidney transplantation (KTR) with 2 types of donors: cDCD (92 KTR from 12/2014 to 10/2016) and donors after brain death (DBD) aged 18-65 y (5176 KTR from 1/2013 to 8/2016). Rate of PNF (1 vs 2.5%), mean creatinine (164 vs 179 u03bcmol/l) and renal clearance (49 vs 46 ml/mn) at discharge are comparable. DGF rate (9% vs 19%) are significantly lower in case of cDCD. 24 liver transplants and 1 bilateral lung transplant were also performed without EAD and with excellent transplant outcomesThese good results ensue from a national consensual protocol, with aim to limit warm ischemia times and injuries, thanks to nRP use, optimal graft preservation and recipient selection. cDCD program represents an optimal and additional source of valuable transplants.
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French Controlled Donation After Circulatory Arrest (Cdcd) Program : First Results
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Autor/in / Beteiligte Person: | Savoye, Emilie |
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Veröffentlichung: | Morressier, 2017 |
Medientyp: | unknown |
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