%0 Journal Article
%T Trasplante renal con injertos procedentes de donantes en parada card¨ªaca Maastricht tipo III
%A Frutos-Sanz
%A Miguel ¨¢.
%A Guerrero-G¨®mez
%A Francisco
%A Daga-Ruiz
%A Domingo
%A Cabello-D¨ªaz
%A Mercedes
%A Lebr¨®n-Gallardo
%A Miguel
%A Quesada-Garc¨ªa
%A Guillermo
%A Ruiz-Valverde
%A Andr¨¦s
%A Baena-Gonz¨¢lez
%A V¨ªctor
%A Hern¨¢ndez-Marrero
%A Domingo
%J Nefrolog¨ªa (Madrid)
%D 2012
%I Scientific Electronic Library Online
%R 10.3265/Nefrologia.pre2012.Jul.11522
%X kidney transplantation (kt) with kidneys from non-beating-heart donors (nbhd) is a growing trend in spain. the majority of these kidneys come from type ii maastricht patients, although in recent years, organ donations from patients deceased due to cardiac arrest following limitation of life-sustaining therapy has already been in practice in certain european and north american countries, and it involves type iii maastricht patients. we present a series of 6 kt using kidneys from nhbd as a consequence of limitation of life-sustaining therapy in three different hospitals in the sector of malaga. after agreeing upon a protocol for evaluating the potential of a patient for organ donation, which was always after deciding to limit life-sustaining therapy, the patients' families were given the option of organ donation. kidneys were preserved using a porges double balloon catheter, which was placed prior to cardiac arrest. in two cases, the limitation of life-sustaining therapy took place in the intensive care unit, and in the third case, in the operating room. the interval between limitation of life-sustaining therapy and cardiac arrest ranged between 15 minutes and 40 minutes, with an interval of circulatory arrest prior to perfusion of 5-11 minutes. perfusion-cooling of the kidneys was initially carried out using saline solution, followed by organ preservation solution (celsior or belzer) and extraction of the kidney using a rapid surgical technique. true or functional hot ischaemia times were 60 minutes, 59 minutes, and 50 minutes, respectively, for each of the three donors. kidneys were evaluated for viability using time intervals for the procedure (including hypotension prior to cardiac arrest), macroscopic appearance, and histopathology of a sample taken from each kidney. the recipients of these 6 kidneys had given their consent to receive organs from expanded-criteria donors. cold ischaemia lasted between 9 hours and 20 hours (mean: 14.6 hours). one recipient develop
%K non heart-beating donor
%K death cardiac donor
%K expanded criteria donor
%K kidney transplant death cardiac donor.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0211-69952012000800009&lng=en&nrm=iso&tlng=en