Suboptimal kidney: The experience of a single transplant unit
Suboptimal kidney: The experience of a single transplant unit
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DOI：
10.1016/j.transproceed.2004.02.008
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发表时间：
2004-04-01
影响因子：
0.9
通讯作者：
Imperatore, P
中科院分区：
文献类型：
--
作者：
De Rosa, P;Santangelo, M;Imperatore, P
并非所有的肾脏都适合移植。 2001年，意大利1748个器官中仅移植了1530个。这种差异（-12.5%）不仅代表从被认为不适合的边缘供体采集的器官，而且还代表虽然从标准供体采集的肾脏，但存在血管、实质或泌尿系统异常，使其不适合移植。在我们的中心，我们建立了一个程序来定义次优肾脏的特征，并使我们能够专门选择合适的配方。我们认为所有具有复杂动脉异常的器官均属于次优（超过 2 条动脉，尽管位于单个补片上或分开，例如需要双吻合术或台重建）；实质损伤明显的器官（宏观硬化区或切除过程中意外损伤的缝合极支），以及排泄道复杂异常的器官（完全双区）。如果器官在工作台上修正了静脉异常，或者有带有单个补片的双动脉，则不认为器官是次优的
Not all kidneys are suitable for transplantation. In 2001 in Italy, only 1530 of 1748 organs were transplanted. This difference (-12.5%) not only represents organs harvested from marginal donors considered not suitable, but also kidneys that, although collected from standard donors, had a vascular, parenchymal, or urologic anomaly that made them unsuitable for transplantation. In our center, we established a procedure that defined the characteristics of suboptimal kidneys and allowed us to specifically select the appropriate recipent. We considered as suboptimal all organs with complex arterial anomalies (more than 2 arteries although on a single patch or separated such as to need a double anastomosis or a bench reconstruction); organs with noticeable parenchymal damage (macroscopic sclerosis areas or sutured polar branches accidentally damaged during removal), and organs with complex anomalies of the excretory tract (complete double district). The organs were not considered as suboptimal if they had venous anomalies revised on the bench or if they had a double artery with a single patch