Transpondo limites com doadores falecidos: transplantes bem-sucedidos com rins de doador com creatinina sérica igual a 13,1 mg/dL

• Autor(a) principal: Klein, Rodrigo [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Galante, Nelson Zocoler [UNIFESP], Franco, Marcello Fabiano de [UNIFESP], Almeida, Maurício Costa Manso de [UNIFESP], Nogueira Júnior, Mário [UNIFESP], Tedesco-Silva, Helio [UNIFESP], Pestana, Jose Osmar Medina [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000tvbj
• DOI: 10.1590/S0101-28002010000100021
• Texto Completo: http://dx.doi.org/10.1590/S0101-28002010000100021; http://repositorio.unifesp.br/handle/11600/5639
• topic: tissue donors; acute kidney failure; kidney transplantation; case reports; doadores de tecidos; insuficiência renal aguda; transplante renal; relatos de casos

Non-expanded deceased donors with acute kidney failure can be a safe option to increase the number of kidneys for transplantation. Histological evaluation is fundamental to establish the functional prognosis of those grafts. Two kidney transplantations were performed from a young deceased donor with severe acute kidney failure and no structural change in the renal parenchyma. Both patients had postoperative delayed graft function, but one of them, who had good initial urinary volume, required no dialysis. Adequate renal function was present at day 30 after transplantation. Severe acute kidney failure in deceased donors is not an independent risk factor for short-term outcome of renal graft and should not be considered an absolute contraindication for transplantation.