Kidney Transplantation from a Donor Following Cardiac Death Supported with Extracorporeal Membrane Oxygenation

• DOI: 10.3346/jkms.2012.27.2.115
• Publication Date: 2012-02-02T23:16:49Z
• Authors: Jong Hoon Lee; Sung Yeon Hong; Chang-Kwon Oh; You Sun Hong; Hyunee Yim
• Keywords: Extracorporeal circulation

Kidney Transplantation from a Donor Following Cardiac Death Supported with Extracorporeal Membrane OxygenationTo expand the donor pool, organ donation after cardiac death (DCD) has emerged.However, kidneys DCD donors have period of long warm ischemia between arrest and harvesting organs.Recently, we used extracorporeal membrane oxygenation (ECMO) to minimize ischemic injury during ´no touch´ periods in Maastricht category II performed two successful kidney transplantations.The were procured 49-yr-old male donor.The time was 31 min, maintained circulation using ECMO 7 hr 55 min.The cold 9 15 transplanted into recipients functioned immediately reperfusion.The grafts showed excellent function at one three months posttransplantation; serum creatinine (SCr) levels 1.0 mg/dL 0.8 estimated glomerular filtration rates (eGFR) 63 mL/min/1.73m 2 78 first recipient, SCr 1.1 eGFR 56 mL/ min/1.73m 64 second recipient.In conclusion, it is suggested that transplantation assisted by reasonable modality for expanding pool.