Successful liver transplantation from a deceased donor who was on hemodialysis for 10 years
https://doi.org/10.15825/1995-1191-2023-2-167-169
Abstract
Objective: to analyze the possibility of using the liver of a donor undergoing hemodialysis as a transplant.
Materials and methods. A case of successful liver transplantation (LT) from a 40-year-old deceased donor, who had been on hemodialysis for 10 years for chronic pyelonephritis and nephrosclerosis, is presented. Of the known hemodialysis complications of chronic kidney disease, the donor’s medical records showed anemia and grade 3 arterial hypertension.
Results. The recipient’s post-LT period had no significant differences from the postoperative period of those that received liver from donors with standard criteria.
Conclusion. Our first experience with the use of a liver transplant from a donor who was on hemodialysis, in the absence of other risk factors, suggests that the liver of this category of donors can be used for transplantation.
About the Authors
D. A. Altman
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
O. M. Tsirulnikova
Shumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov University
Russian Federation
Russian Federation
Moscow
A. E. Poltorak
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Aleksandr Poltorak
70, Vorovskogo str., Chelyabinsk, 454048, Phone: (908) 062-49-26
V. V. Pchelnikov
Shumakov National Medical Research Center of Transplantology and Artificial Organs
Russian Federation
Russian Federation
Moscow
B. Kh. Sarsenbayev
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
А. S. Ryzhykh
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
I. Ya. Bondarevsky
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
Е. G. Muravyeva
Chelyabinsk Regional Clinical Hospital
Russian Federation
Russian Federation
Chelyabinsk
References
1. Flores A, Asrani SK. The donor risk index: A decade of experience. Liver Transpl. 2017; 23 (9): 1216–1225. doi: 10.1002/lt.24799.
2. Minina MG, Voronov DV, Tenchurina EA. Evolution of liver donation in Moscow. Movement towards expanded donor selection criteria. Russian Journal of Transplantology and Artificial Organs. 2022; 24 (3): 102–110. [In Russ, English abstract]. doi: 10.15825/1995-1191-2022-3-102-110.
3. Ryss ES, Ryabov SI, Lutoshkin MB, Panina IYu. Pishchevaritel’naya sistema. Lechenie khronicheskoy pochechnoy nedostatochnosti. Pod red. S.I. Ryabova. SPb.: Foliant, 1997: 11–25. [In Russ].
4. Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003; 139 (2): 137–147. doi: 10.7326/0003-4819-139-2-20030715000013.
5. Nemes B, Gámán G, Polak WG, Gelley F, Hara T, Ono S et al. Extended criteria donors in liver transplantation Part I: reviewing the impact of determining factors. Expert Rev Gastroenterol Hepatol. 2016; 10 (7): 827–839. doi: 10.1586/17474124.2016.1149061.
6. Gautier SV, Khomyakov SM. Organ donation and transplantation in the Russian Federation in 2021 14th Report from the Registry of the Russian Transplant Society. Russian Journal of Transplantology and Artificial Organs. 2022; 24 (3): 8–31. [In Russ, English abstract]. doi: 10.15825/1995-1191-2022-3-8-31.
Supplementary files
Review
For citations:
Altman D.A., Tsirulnikova O.M., Poltorak A.E., Pchelnikov V.V., Sarsenbayev B.Kh., Ryzhykh А.S., Bondarevsky I.Ya., Muravyeva Е.G. Successful liver transplantation from a deceased donor who was on hemodialysis for 10 years. Russian Journal of Transplantology and Artificial Organs. 2023;25(2):167-169. https://doi.org/10.15825/1995-1191-2023-2-167-169
Views:
379
Email this article 