Reuse of a previously transplanted kidney: does success come with a price?
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Date
2012-10
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Authors
Kadambi, Pradeep V.
Chon, W. James
Josephson, Michelle A.
Desai, Amishi
Thistlethwaite, J. Richard
Harland, Robert C.
Meehan, Shane M.
Garfinkel, Marc R.
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Abstract
Longer wait times for deceased donor kidney transplant have prompted newer initiatives to expedite the process. Reuse of a previously transplanted kidney might be appropriate in certain circumstances. However, one must also consider the unique issues that may arise after such transplants. We describe our experience in one such case where the donor kidney had lesions of focal and segmental glomerulosclerosis and signs of alloreactivity (positive C4d staining) prior to transplantation and the recipient developed ganciclovir-resistant cytomegalovirus (CMV) infection, which was perhaps transmitted from the donor. Despite the challenges, the allograft function remained stable 5 years after reuse. © 2012 The Author. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please email: journals.permissionsoup.com.
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Citation
Clinical Kidney Journal; 5:5 p. 434-437
DOI
10.1093/ckj/sfs086