PD25-01 KIDNEY PRESERVATION TECHNIQUES IN CONTROLLED CIRCULATORY DEATH: NECMO AND ULTRA-RAPID RETRIEVAL

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery I1 Apr 2018PD25-01 KIDNEY PRESERVATION TECHNIQUES IN CONTROLLED CIRCULATORY DEATH: NECMO AND ULTRA-RAPID RETRIEVAL Begoña Etcheverry Giadrosich, Maria Fiol Riera, Lluis Riera Canals, Sergi Beato García, José Francisco Suárez Novo, Salvador Gil-Vernet Cebrian, and Francesc Vigués Julià Begoña Etcheverry GiadrosichBegoña Etcheverry Giadrosich More articles by this author , Maria Fiol RieraMaria Fiol Riera More articles by this author , Lluis Riera CanalsLluis Riera Canals More articles by this author , Sergi Beato GarcíaSergi Beato García More articles by this author , José Francisco Suárez NovoJosé Francisco Suárez Novo More articles by this author , Salvador Gil-Vernet CebrianSalvador Gil-Vernet Cebrian More articles by this author , and Francesc Vigués JuliàFrancesc Vigués Julià More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1328AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES During the past decade, kidneys obtained after controlled circulatory death (cDCD) have significantly increased, in order to increase the number of donors. It achieved 24% of total Kidneys transplant during the last year in Spain. However, it implies warm ischemia times, resulting a greater risk for organs. Focusing on graft quality optimization, it has implemented the abdominal Normothermic Extracorporeal Membrane Oxygenation (NECMO) in order to restore blood flow before organ recovery. NECMO perfusion provides promising results for the use of liver grafts for cDCD. The aim of this study is to evaluate cDCD kidneys, obtained from NECMO technique compared with cDCD ultra-rapid retrieval. METHODS We perform a case control study of Maastricht category III DCD kidneys transplanted in one single center, Hospital Universitari de Bellvitge, Barcelona. We compared kidneys of both cDCD ultra-rapid retrieval and NECMO retrieval groups. RESULTS From 2013 to 2017, 109 kidneys transplants from Maastricht category III DCD donors were performed. Out of these, 76% (83) were retrieved from our hospital and the remaining 24% (26), came from other centers. Mean age was 63 years old (CI95%: 61-65), 42% (63) were no-EDC (extended donor criteria) We compared 2 groups: ultra-rapid retrieval versus NECMO retrieval for non-EDC Masstricht category III CDC (data is presented in table 1). From multivariable analysis, NECMO is associated with less DGF than Ultra-rapid retrieval, OR 0.19 (IC95%: 0.038-0.96, p= 0.044). CONCLUSIONS Although the Ultra-rapid retrieval is highly extended with satisfactory results, in our series kidney preservation with NECMO shows less DGF, corroborating that it could be a good way to reverse warm ischemia effects. We have better kidney function in the follow-up. However, it is a small sample, and we need more follow-up. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e545-e546 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Begoña Etcheverry Giadrosich More articles by this author Maria Fiol Riera More articles by this author Lluis Riera Canals More articles by this author Sergi Beato García More articles by this author José Francisco Suárez Novo More articles by this author Salvador Gil-Vernet Cebrian More articles by this author Francesc Vigués Julià More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...