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Number of Donor Renal Arteries and Early Outcomes after Deceased Donor Kidney Transplantation
- Source :
- Kidney360
- Publication Year :
- 2021
-
Abstract
- BACKGROUND: Anatomic abnormalities increase the risk of deceased donor kidney discard, but their effect on transplant outcomes is understudied. We sought to determine the effect of multiple donor renal arteries on early outcomes after deceased donor kidney transplantation. METHODS: For this retrospective cohort study, we identified 1443 kidneys from 832 deceased donors with ≥1 kidney transplanted at our center (2006–2016). We compared the odds of delayed graft function and 90-day graft failure using logistic regression. To reduce potential selection bias, we then repeated the analysis using a paired-kidney cohort, including kidney pairs from 162 donors with one single-artery kidney and one multiartery kidney. RESULTS: Of 1443 kidneys included, 319 (22%) had multiple arteries. Multiartery kidneys experienced longer cold ischemia time, but other characteristics were similar between groups. Delayed graft function (50% multiartery versus 45% one artery, P=0.07) and 90-day graft failure (3% versus 3%, P=0.83) were similar between groups before and after adjusting for donor and recipient characteristics. In the paired kidney analysis, cold ischemia time was significantly longer for multiartery kidneys compared with single-artery kidneys from the same donor (33.5 versus 26.1 hours, P
- Subjects :
- Deceased donor kidney
Kidney
medicine.medical_specialty
urogenital system
business.industry
Graft Survival
Urology
Retrospective cohort study
General Medicine
Cold Ischemia Time
Kidney Transplantation
Delayed Graft Function
Transplantation
medicine.anatomical_structure
Renal Artery
Cohort
Medicine
Humans
business
Original Investigation
Artery
Retrospective Studies
Subjects
Details
- ISSN :
- 26417650
- Volume :
- 2
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Kidney360
- Accession number :
- edsair.doi.dedup.....dcd8cfdc22ab9f35971379eb5f84fb19