[Double kidney transplantation--a method to increase the donor pool].

Area of Science:

• Nephrology
• Transplantation Surgery
• Immunology

Context:

• Increasing demand for kidney transplants exceeds donor availability.
• Marginal donor kidneys require specific strategies for optimal outcomes.
• Utilizing extended criteria or previously refused organs is necessary to expand the donor pool.

Purpose:

• To evaluate the efficacy of double kidney transplantation using organs refused by local services.
• To assess the outcomes of transplanting both kidneys from a single donor into one recipient.
• To determine if previously rejected kidneys can be successfully utilized through this technique.

Summary:

• Five double kidney transplantations were performed using organs refused by local transplant services.
• Both kidneys were transplanted retroperitoneally on the same side.
• Recipients experienced immediate kidney function, with significant improvements in serum creatinine and Glomerular Filtration Rate (GFR).
• Two patients had acute rejection episodes, but all avoided long-term dialysis during the two-year follow-up.

Impact:

• Double kidney transplantation offers an acceptable solution for expanding the donor pool.
• Cautious selection of previously rejected kidneys can lead to successful transplant outcomes.
• This technique provides a valuable option for patients on kidney transplant waiting lists.