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The Expanded Criteria Donors in Kidney Transplantation: 3 Years Experience 2008 - 2010

The Expanded Criteria Donors in Kidney Transplantation: 3 Years Experience 2008 - 2010. FAM Shaheen , B. Al-Attar , MZ Souqiyyeh , J.E Cillo , A. Al Sayyari Saudi Center For Organ Transplantation, Riyadh, Kingdom of Saudi Arabia. Introduction.

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The Expanded Criteria Donors in Kidney Transplantation: 3 Years Experience 2008 - 2010

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  1. The Expanded Criteria Donors in Kidney Transplantation: 3 Years Experience 2008 - 2010 FAM Shaheen, B. Al-Attar, MZ Souqiyyeh, J.E Cillo, A. Al Sayyari Saudi Center For Organ Transplantation,Riyadh, Kingdom of Saudi Arabia

  2. Introduction • Kidney Transplantation is the preferred therapy for most patients with ESRD and is superior to dialysis in terms of long term mortality risk. • The poll of renal transplant candidates has increased dramatically. • There is a significant need for kidneys from deceased donors. Objectives • Identify and analyze the use of Expanded Criteria Donor Kidneys. • The outcome of kidney transplantation in Saudi Arabia.

  3. Methods • A retrospective study of all deceased donor transplantation carried out from the year 2008 – 2010. Investigating theimpact on graft and patient survival and graft function of Expanded Criteria Donor Kidneys compared to Standard Criteria Donors (SCD).

  4. Results • Donor Characteristic: • Age ≥ 60y.o • Age 50 – 59y.o / CVA / HTN • and or S. Cr ≥ 133 µmol/L ( 1.5 mg/dl ) • CVA / HTN / S. Cr doubled at harvesting 7 Kidneys 43 Kidneys 18 Kidneys Note: 2 transplanted Kidneys from HCV positive donor SCD = Standard Criteria Donors ECD = Expanded Criteria Donors

  5. Donor Characteristics Results Total - 225 Donors

  6. Recipient Characteristics Results

  7. Patient Follow-up 2008 - 2010 Results

  8. Conclusions • The use of marginal kidney donors is an acceptable method to use in specified category of patients on waiting list for kidney transplantation in Saudi Arabia. • The outcome of marginal kidney transplantation is comparable to international data.

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