000 02904na a2200325 4500
999 _c12323
_d12323
003 PC12323
005 20180417105942.0
008 130622s2013 xxx||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _aGuerrero Ramos, Félix
_92375
_eUrología
100 _aRodríguez Antolín, Alfredo
_91692
_eUrología
100 _aPassas Martínez, Juan
_91929
_eUrología
100 _aTejido Sánchez, Ángel
_9484
_eUrología
100 _aAndrés Belmonte, Amado
_91321
_eNefrología
100 _aCavero Escribano, Teresa
_92384
_eNefrología
245 0 0 _aPerigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role?.
_h[artículo]
260 _bCentral European Journal of Urology,
_c2017
300 _a70(4):439-444.
500 _aFormato Vancouver: Guerrero-Ramos F, Cavero-Escribano T, Rodríguez-Antolín A, Andrés-Belmonte A, Passas-Martínez J, Tejido-Sánchez Á. Perigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role? Cent European J Urol. 2017;70(4):439-444.
501 _aPMID: 29410900
504 _aContiene 24 referencias
520 _aIntroduction: Perigraft fluid collection (PFC) is a common complication after kidney transplant. Its etiology is not clear and not all the causes have been identified. The influence of the type of donor has never been evaluated. Our aim was to compare the incidence, severity and management of PFC in recipients of grafts from uncontrolled donors after circulatory death (DCD) with normothermic extracorporeal membrane oxygenation (NECMO) versus recipients of grafts from donors after brain death (DBD). Material and methods: We conducted a retrospective cohort study of 300 kidney transplants performed in our center between 2007 and 2012. Patients were divided in two groups: 150 recipients of Maastricht II DCD graft and 150 recipients of the DBD graft. Incidence, severity according to Clavien scale and management were analyzed in both groups, and comparison was carried out using Chi-square. Results: Of the 300 kidney recipients analyzed, 93 (31.4%) suffered PFC, showing no difference between DBD (32.0%) and DCD (30.8%) groups (p = 0.9). Complicated PFC rate (defined as a PFC generating vascular compression, fever or urinary tract obstruction) was 22.9% in the DBD group versus 22.2% in the DCD group (p = 1); most complicated PFC were due to urinary tract obstruction (81%), with no difference between the groups (p = 1). Concerning Clavien scale, 78.5% of the PFC in our series were Clavien I, 19.4% Clavien IIIa and 2.2% Clavien IIIb, with no difference between both groups (p = 1). Conclusions: PFC is a frequent complication that appears in a third of our patients, showing no difference in the incidence or severity between DBD and uncontrolled DCD graft recipients.
710 _9220
_aServicio de Urología
710 _986
_aServicio de Nefrología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc12323.pdf
_ySolicitar documento
942 _n0
_2ddc
_cART