Kidney donors after circulatory death (DCD) – single centre experience

Česká verzia

Authors: V. Třeška; T. Reischig; D. Hasman; B. Čertík; J. Moláček; R. Šulc; M. Čechura; L. Kielberger; K. Houdek; V. Opatrný
Authors place of work: Transplantační centrum LF Univerzity Karlovy a FN v Plzni přednosta: prof. MUDr. V. Třeška, DrSc.
Published in the journal: Rozhl. Chir., 2016, roč. 95, č. 4, s. 147-150.
Category: Original articles

Summary

Introduction:
Kidney procurement from donors after circulatory death (DCD) is an important part of worldwide transplantation programmes. The first kidney transplantation from DCD was successfully performed in the Czech Republic in 2002.

Method:
Forty four kidneys from DCD were procured in the Transplant Centre of Pilsen between 2002 and 2015. We used the technique of “in situ“ procurement with the double balloon triple lumen catheter and 5−10 minutes of the no-touch interval. The method of pulsatile hypothermic perfusion was used to test the viability of the kidneys. Twenty eight recipients with mean age 51.1 (26−73) years were transplanted. Sixteen (57.1%) kidneys were from the 2^nd, 8 (28.6%) from the 3^rd and 4 (14.3%) from the 4^th category according to the Maastricht criteria.

Results:
30-day mortality and morbidity rates were 0 and 10.7% i. e.14.3% respectively (N=4). Primary non-function was presented in 2 (7.1%), and delayed graft function in 5 (17.9%) cases. One, five and ten years of recipient and graft survival rates were 100%, 86.4% and 76.7%; and 92.9%, 69.6% and 61.9%, respectively. The long-term results are fully comparable with kidneys transplanted from donors after brain death.

Conclusion:
DCD are an important source for kidney transplantation. Kidney transplantation from DCD is a logistically, economically and personally demanding method with very good long-term results.

Key words:
donors after circulatory death – kidney transplantation – results

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