Akademska digitalna zbirka SLovenije - logo
E-viri
Celotno besedilo
Recenzirano
  • Rapid re‐transplantation sa...
    Rodríguez‐Espinosa, Diana; Broseta, José Jesús; Hermida, Evelyn; Cuadrado, Elena; Guillén‐Olmos, Elena; Montagud‐Marrahi, Enrique; Diekmann, Fritz

    Nephrology (Carlton, Vic.), September 2021, 2021-Sep, 2021-09-00, 20210901, Letnik: 26, Številka: 9
    Journal Article

    Introduction Early graft loss is a devastating kidney transplant complication associated with high mortality and an increased risk of sensitization to antigens from the failed graft. Moreover, if rapid re‐transplantation were to occur, given that the human leukocyte antigen antibodies identification may not be reliable until several weeks after transplantation, the recipient's immunological status would be uncertain. Hence, there could be an increased immunological risk. To date, there is no information on whether a rapid re‐transplantation after early graft loss, without a new reliable anti‐HLA determination, is safe. Methods We retrospectively analysed the number of rejections and the graft survival of re‐transplanted patients with early graft loss (defined as graft failure before 30 days from transplant) from our centre between June 2003 and November 2019. The studied population was divided into rapid re‐transplantation (performed within 30 days of early graft loss) and late re‐transplantation (performed beyond those 30 days). Results Forty‐seven patients were re‐transplanted after early graft loss. There were nine rapid re‐transplantation cases with an 89% five‐year graft survival and one antibody‐mediated rejection episode. Furthermore, we identified 38 cases of late re‐transplantation with a 69% five‐year graft survival, 4 T cell‐mediated, and 11 antibody‐mediated rejections. Conclusions Rapid re‐transplantation appears to be safe and does not entail increased rejection risk, nor does it impact long‐term graft survival when compared to late re‐transplantation. SUMMARY AT A GLANCE This observational study provides information on the benefit and feasibility of early retransplantation, within 30 days of early graft loss (defined as graft failure within 30 days of kidney transplant).