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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884

Abstract

COBO SANCHEZ, José Luis et al. Impact of a donor protocol on a renal transplant program after controlled cardiac death with ECMO support. Enferm Nefrol [online]. 2017, vol.20, n.3, pp.252-257. ISSN 2255-3517.  http://dx.doi.org/10.4321/s2254-28842017000300009.

Aim:

To analyze the impact of a donor protocol after controlled cardiac death with support of extracorporeal membrane oxygenation (PMCC-ECMO) in the renal transplant program of our center.

Material and method:

Retrospective, observational, descriptive study in a cohort of renal grafts (RG) from PMCC-ECMO. RGs from 8 patients with irreversible disease (IE) in which therapeutic effort limitation is applied are evaluated and considered as potential donors during the last six months of 2014 and the first quarter of 2015. IRs sent out of the community were excluded. Indicators of the donation process (IDP) and clinical results of the grafts (CRG) were evaluated.

Results:

IDP: 100% men, mean age 60 years, mean agonizing time 9.37 minutes; cause of IE: 62.5% of pulmonary origin, 37.5% of neurological origin. We obtained 13 kidneys, 3 livers and 2 lungs: 2 RG outside the community. RGs from the PMCC-ECMO accounted for 20% of the total in 2014 at our center. CRG: Of the 11 RGs transplanted in our center, only 1 was not viable due to thrombosis of the renal veins, and another RG presented delayed renal function due to immunological causes. Mean values of RG function per month: serum creatinine 1.88 mg / dl, creatinine clearance 56.82 mL / min, urea 0.788 g / L.

Conclusions:

PMCC-ECMO has had a high impact on the renal transplant program, both for increasing the donation rate and for the high viability rate of the grafts.

Keywords : tissue and organ procurement (methods); nursing care; kidney transplantation; organ donations after cardiac death; type III Maastricht donors.

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