Articles tagged "Donors, marginal"

2021 American Transplant Congress
Outcomes from High KDPI Kidneys Utilized for Dual Kidney Transplantation
J. Wagler¹, K. Mitchell², S. Ohara³, R. Heilman², S. K. Reddy², H. Khamash², C. Jadlowiec²
¹Mayo Clinic Arizona, Phoenix, AZ, ²Mayo Clinic, Phoenix, AZ, ³Valleywise Health General Surgery Residency Program, Phoenix, AZ
*Purpose: In light of the ongoing organ shortage, dual kidney transplantation (DKT), utilizing two adult kidneys from the same donor for one recipient, has been…
2021 American Transplant Congress
Black Patients Do Not Have Worse Short-Term Outcomes After Receiving High KDPI (>85%) Kidneys
K. Atiemo¹, S. Guisti¹, K. Guo², T. Amankonah¹, A. Vijay¹, A. Paramesh¹, M. Killackey¹, H. Jeon¹, L. Zhao², D. Ladner²
¹Tulane University, New Orleans, LA, ²Northwestern University, Chicago, IL
*Purpose: Some studies have suggested Black kidney transplant recipients have an increased incidence of graft failure and worse survival. We examined whether this finding is…
2021 American Transplant Congress
Patient Feedback of a Patient and Family Decision Support Tool for Liver Organ Offer Decisions
C. Schaffhausen¹, S. Chu², M. Bruin³, S. Chinnakotla³, J. Lake³, A. Israni⁴
¹Hennepin Healthcare Research Institute, Minneapolis, MN, ²University of Minnesota (UMN), Minneapolis, MN, ³UMN, Minneapolis, MN, ⁴Hennepin Healthcare, UMN, Minneapolis, MN
*Purpose: For liver transplant candidates on the waiting list, deciding to accept a donor organ with known or potential risk factors can be stressful and…
2021 American Transplant Congress
Successful Outcomes from Selected Akin3 Donors Requiring Renal Replacement: Avenue for Increase in Organ Utilization
P. Budhiraja¹, R. L. Heilman¹, M. L. Smith², H. A. Khamash¹, L. Kodali¹, A. A. Moss³, A. K. Mathur³, C. Jadlowiec³, K. S. Reddy³
¹Medicine, Mayo Clinic, Phoenix, AZ, ²Pathology, Mayo Clinic, Phoenix, AZ, ³Surgery, Mayo Clinic, Phoenix, AZ
*Purpose: Our aim was to determine outcomes with transplanting kidneys from deceased donors with severe acute kidney injury requiring acute renal replacement therapy.*Methods: We included…
2021 American Transplant Congress
The Extremes of KDPI: Even KDPI 95%+ Kidneys Can Be Used Successfully
A. Gilbert, J. Verbesey, B. Thomas, J. Moore, M. Cooper
Medstar Georgetown Transplant Institute, Washington, DC
*Purpose: While the use of kidneys with KDPIs greater than 85% has become common, there is still reluctance among centers to use the very highest…
2021 American Transplant Congress
Liver Transplantation with Super Obese Donors (BMI≥50) Grafts: An Acceptable Pathway to Expand the Donor Pool. Analysis of the OPTN/UNOS Liver Transplant Registry
P. Vargas¹, C. Argo², H. Zachary², M. Stotts², N. Intagliata², P. Northup², J. Oberholzer¹, S. Pelletier¹, N. Goldaracena¹
¹Transplant Surgery, University of Virginia Health System, Charlottesville, VA, ²Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, VA
*Purpose: We aimed to analyze the impact of donor body mass index (BMI) on recipient morbidity and survival following liver transplantation (LT).*Methods: The UNOS-STAR database…
2021 American Transplant Congress
Expanding A₂ to B Kidney Transplantation: Safe and Effective Use of Recipients with High Titer Antibodies
A. Gilbert¹, S. Radomski², J. Verbesey¹, J. Vucci¹, M. Cooper¹
¹Medstar Georgetown Transplant Institute, Washington, DC, ²Department of Surgery, Johns Hopkins Medical Center, Baltimore, MD
*Purpose: Minor ABO incompatible (ABOi) transplants from blood group A2 or A2B donors have increased since 2014, but virtually all centers limit recipients to having…
2021 American Transplant Congress
Trends in the Recovery and Discard of Kidneys from Deceased Donors with Acute Kidney Injury from 2010-2018
C. Liu¹, S. Alasfar², P. P. Reese³, S. Mohan⁴, M. D. Doshi⁵, I. E. Hall⁶, H. R. Thiessen-Philbrook², Y. Jia², D. E. Stewart⁷, C. Parikh²
¹Icahn School of Medicine at Mount Sinai, New York, NY, ²Johns Hopkins University School of Medicine, Baltimore, MD, ³Perelman School of Medicine, Philadelphia, PA, ⁴New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, ⁵University of Michigan, Ann Arbor, MI, ⁶University of Utah School of Medicine, Salt Lake City, UT, ⁷United Network for Organ Sharing, Richmond, VA
*Purpose: Since the donor KDPI score used in KAS is restricted to a single terminal serum creatinine (SCr) measurement, kidneys from donors with transient acute…
2021 American Transplant Congress
Improved Patient Survival in DCD Liver Transplantation
O. Bushara¹, J. Alhalel¹, H. Azad¹, T. Cerri², S. Zafer², J. C. Caicedo¹
¹Department of Surgery, Division of Organ Transplantation, Northwestern University Feinberg School of Medicine, Chicago, IL, ²Rosalind Franklin Medical School, Chicago, IL
*Purpose: We aim to investigate longitudinal outcomes in DCD liver transplantation over a 10-year period and elucidate trends in patient survival, biliary complication rates, and…
2020 American Transplant Congress
Selectively Transplanting Moderately to Severely Macrosteatotic Grafts: Does Recipient Metabolic Environment Affect Outcomes?
P. J. Altshuler, A. Rios Diaz, O. Shaheen, A. P. Shah, W. R. Maley, A. Frank, C. Ramirez, J. Glorioso, H. Dang, A. S. Bodzin
Department of Surgery, Thomas Jefferson University, Philadelphia, PA
*Purpose: As incidence of Non-Alcoholic Steatohepatitis (NASH) cirrhosis rises, organ utilization remains stagnant. Recently, it has been shown that selective utilization of >30% macrosteatotic grafts…