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Kidney transplantation from a donor following cardiac death supported with extracorporeal membrane oxygenation

DC Field Value Language
dc.contributor.authorLee, JH-
dc.contributor.authorHong, SY-
dc.contributor.authorOh, CK-
dc.contributor.authorHong, YS-
dc.contributor.authorYim, H-
dc.date.accessioned2013-05-02-
dc.date.available2013-05-02-
dc.date.issued2012-
dc.identifier.issn1011-8934-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/8130-
dc.description.abstractTo expand the donor pool, organ donation after cardiac death (DCD) has emerged. However, kidneys from DCD donors have a period of long warm ischemia between cardiac arrest and the harvesting of the organs. Recently, we used extracorporeal membrane oxygenation (ECMO) to minimize ischemic injury during 'no touch' periods in a Maastricht category II DCD donor and performed two successful kidney transplantations. The kidneys were procured from a 49-yr-old male donor. The warm ischemia time was 31 min, and the time of maintained circulation using ECMO was 7 hr 55 min. The cold ischemia time was 9 hr 15 min. The kidneys were transplanted into two recipients and functioned immediately after reperfusion. The grafts showed excellent function at one and three months post-transplantation; serum creatinine (SCr) levels were 1.0 mg/dL and 0.8 mg/dL and the estimated glomerular filtration rates (eGFR) were 63 mL/min/1.73 m(2) and 78 mL/min/1.73 m(2) in the first recipient, and SCr levels were 1.1 mg/dL and 1.0 mg/dL and eGFR were 56 mL/min/1.73 m(2) and 64 mL/min/1.73 m(2) in the second recipient. In conclusion, it is suggested that kidney transplantation from a category II DCD donor assisted by ECMO is a reasonable modality for expanding donor pool.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESH*Death-
dc.subject.MESH*Extracorporeal Membrane Oxygenation-
dc.subject.MESHFemale-
dc.subject.MESHGlomerular Filtration Rate-
dc.subject.MESHGlucose/chemistry-
dc.subject.MESHHumans-
dc.subject.MESH*Kidney Transplantation-
dc.subject.MESHMale-
dc.subject.MESHMannitol/chemistry-
dc.subject.MESHMiddle Aged-
dc.subject.MESH*Organ Preservation-
dc.subject.MESHPotassium Chloride/chemistry-
dc.subject.MESHProcaine/chemistry-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTime Factors-
dc.subject.MESHTissue Donors-
dc.titleKidney transplantation from a donor following cardiac death supported with extracorporeal membrane oxygenation-
dc.typeArticle-
dc.identifier.pmid22323856-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271282/-
dc.contributor.affiliatedAuthor이, 종훈-
dc.contributor.affiliatedAuthor오, 창권-
dc.contributor.affiliatedAuthor홍, 유선-
dc.contributor.affiliatedAuthor임, 현이-
dc.type.localJournal Papers-
dc.identifier.doi10.3346/jkms.2012.27.2.115-
dc.citation.titleJournal of Korean medical science-
dc.citation.volume27-
dc.citation.number2-
dc.citation.date2012-
dc.citation.startPage115-
dc.citation.endPage119-
dc.identifier.bibliographicCitationJournal of Korean medical science, 27(2):115-119, 2012-
dc.identifier.eissn1598-6357-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Thoracic & Cardiovascular Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Pathology
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