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SHOULD WE TRANSPLANT KIDNEYS FROM VERY OLD DONORS?

SHOULD WE TRANSPLANT KIDNEYS FROM VERY OLD DONORS?. Elijah Ablorsu M. Laftsidis; L Szabo Cardiff Transplant Unit, UK. UK Donor Activities. 33%. ESOT 2013 - Vienna. Should We ?. ESOT 2013 - Vienna. Should We ?. ESOT 2013 - Vienna. Single centre study Prospectively collected data

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SHOULD WE TRANSPLANT KIDNEYS FROM VERY OLD DONORS?

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  1. SHOULD WE TRANSPLANT KIDNEYS FROM VERY OLD DONORS? • Elijah Ablorsu • M. Laftsidis; L Szabo • Cardiff Transplant Unit, UK

  2. UK Donor Activities 33% ESOT 2013 - Vienna

  3. Should We ? ESOT 2013 - Vienna

  4. Should We ? ESOT 2013 - Vienna

  5. Single centre study • Prospectively collected data • Period: Oct 2006 - Mar 2013 • Patients: 82 DCD kidney transplant • 55: 60-69yrs • 27: >70yrs • Objectives: • Graft function • Graft/Patient survival • Incidence: DGF, PNF, BPAR Study ESOT 2013 - Vienna

  6. Demographics ESOT 2013 - Vienna

  7. Outcomes fDGF PNF p=0.373 p=0.277 BPAR p=0.033 Yes No ESOT 2013 - Vienna

  8. eGFR p=0.560 0.206 0.603 0.80 0.860 0.089 Graft Function ESOT 2013 - Vienna

  9. Graft Survival Patient Survival p=0.606 p=0.333 Survival Time (month) Time (month) ESOT 2013 - Vienna

  10. Excellent function • Satisfactory survival • ?! • Careful selection (Bx, DRI) • Organs preconditioning/preservation • Immunosupression • Different approach (Dual KTx, old to old, etc.) Summary ESOT 2013 - Vienna

  11. ESOT 2013 - Vienna

  12. ESOT 2013 - Vienna

  13. Thanks ESOT 2013 - Vienna

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