Delayed kidney transplantation in combined liver-kidney transplantation.


Journal

Current opinion in organ transplantation
ISSN: 1531-7013
Titre abrégé: Curr Opin Organ Transplant
Pays: United States
ID NLM: 9717388

Informations de publication

Date de publication:
01 04 2021
Historique:
pubmed: 18 2 2021
medline: 16 10 2021
entrez: 17 2 2021
Statut: ppublish

Résumé

To review the impact of delayed kidney transplantation approach in combined (simultaneous) liver-kidney transplantation (CLKT). CLKT offers a life-saving procedure for patients with both end-stage liver disease and chronic kidney disease or prolonged acute kidney injury. It is the most common multiorgan transplant procedure in the US accounting for 9-10% of all liver transplants performed. The number of CLKT has also been increasing in other countries with a better understanding of hepato-renal syndrome. US is the only country which implemented a national allocation policy for CLKT in 2017. Due to the different physiological needs of liver and kidney allografts immediately after transplantation, delayed kidney transplantation approach in CLKT has been introduced for the first time by the Indiana Group, naming it as 'the Indiana Approach'. Over the years, many other groups in the US and in Europe published better outcomes in CLKT using the delayed kidney transplantation approach with the support of hypothermic machine perfusion. Several groups have shown that delayed kidney transplantation in CLKT is a safe procedure with better outcomes in graft(s) and patient survival.

Identifiants

pubmed: 33595980
doi: 10.1097/MOT.0000000000000858
pii: 00075200-202104000-00009
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

153-159

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Références

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Auteurs

Burcin Ekser (B)

Transplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.

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