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The Implication of the Dominant Side Split Renal Function by Diethylenetriamine Penta-Acetic Acid (DTPA) in Live Kidney Donor.

H. Lee,1 Y. Yoon,1 S. Kang,1 K. Huh,2 M. Kim,2 S. Kim,2 Y. Kim,2 W. Han.1

1Urology, Yonsei University College of Medicine, Seoul, Korea
2Transplantation Surgery, Yonsei University College of Medicine, Seoul, Korea

Meeting: 2017 American Transplant Congress

Abstract number: D227

Keywords: Glomerular filtration rate (GFR), Kidney

Session Information

Session Name: Poster Session D: Living Donor Kidney Transplant II

Session Type: Poster Session

Date: Tuesday, May 2, 2017

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

Introduction: Long-term studies of live kidney donors have shown that living kidney donation is safe and rarely affects the individual's health. However, there are a few references about which kidney donor selected. Kidney Disease Improving Global Outcomes (KDIGO) recommends a significant (>10%) difference in split renal function between the two kidneys, the kidney with lower function should normally be used for transplantation. Our aim was to study the split renal function as measured by DTPA in live kidney donors and its impact on kidney selection decision.

Methods: From January 2008 to May 2015, 430 living kidney donors were enrolled. All donors underwent preoperative DTPA. We divided recessive side kidney donor group and dominant side kidney donor group. Live kidney donors who gave the dominant side were spilt into a difference of 7%, 8%, 9% and 10%. Moreover, renal function was compared according to the time. Continuous and categorical variables were compared using ANOVA in the 3 groups.

Results: There were no differences in demographics and eGFR between 3 groups a disparity in 7%, 8%, 9% and 10%. The renal function at 6th month were 64.02±11.34, 63.98±14.00 and 64.43±15.58 in the group of 7% disparity (p=0.970). 64.02±11.34, 64.45±14.51 and 62.04±7.60 in group of 8% disparity (p=0.494). 64.02±11.34, 64.42±14.38 and 61.79±7.27 in group of 9% disparity (p=0.481). 64.02±11.34, 64.43±14.18 and 60.85±7.32 in group of 10% disparity (p=0.338). There was no effect on renal function in dominant side kidney donor compared to recessive side.Conclusion: There was no difference in renal function after dominant side kidney donor up to 10% when determining the donor aspect with the split renal function.

CITATION INFORMATION: Lee H, Yoon Y, Kang S, Huh K, Kim M, Kim S, Kim Y, Han W. The Implication of the Dominant Side Split Renal Function by Diethylenetriamine Penta-Acetic Acid (DTPA) in Live Kidney Donor. Am J Transplant. 2017;17 (suppl 3).

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To cite this abstract in AMA style:

Lee H, Yoon Y, Kang S, Huh K, Kim M, Kim S, Kim Y, Han W. The Implication of the Dominant Side Split Renal Function by Diethylenetriamine Penta-Acetic Acid (DTPA) in Live Kidney Donor. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/the-implication-of-the-dominant-side-split-renal-function-by-diethylenetriamine-penta-acetic-acid-dtpa-in-live-kidney-donor/. Accessed May 25, 2025.

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