[Cadaveric kidney transplantation in patients over 60 years of age]

By technological progress, changing reason and acceptance of patients to dialysis, number of older patients was significantly increased. The first transplantation of patient older than 60 years made in Rijeka 1981. From 1972 to 31.12.1999, it was performed 342 cadaveric kidney transplantation at our center. The first transplantation on patients older than 60 was performed 1981. Since then, 35 patients older than 60, have undergone the transplantation. The average patients, age was 64.9 (60-72). The most often cause of chronic renal failure was phyelonephritis (28.6% of patients) and glomerulonephritis (20%). 85.6% of patients who undergone transplantation lived longer then one year. Out of total number of the patients, 14 died with functioning transplant. The most often causes of death were cardiovascular and malign illnesses. Four patients started with haemodialysis again. Twelve patients have functioning transplant. We have no documentation about 5 patients since they lift to continue their treatments at other foreign centers. In preparation of patients for transplantation, we must take care about cardiovascular diseases. Loosing of renal grapfht due to rejection is rare. According to our experience cadaveric transplantation on patient who are older then 60, was successful method treatment.