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Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

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Published on: February 21, 2016

Transplantation outcomes in primary hyperoxaluria.

E J Bergstralh¹, C G Monico, J C Lieske

¹Division of Biomedical Statistics and Informatics, Departments of Pediatrics and Internal Medicine, Mayo Clinic Hyperoxaluria Center, 200 First Street SW, Rochester, MN 55905, USA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons

|September 21, 2010

Summary

This summary is machine-generated.

For primary hyperoxaluria (PH), combined kidney and liver transplants offer better graft survival than kidney-only transplants. Recent combined transplants show highly successful outcomes, improving over time.

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Area of Science:

Nephrology
Transplantation Immunology
Genetics

Background:

Primary hyperoxaluria (PH) presents challenges for kidney transplantation due to recurrent oxalosis.
Determining optimal transplant strategies is crucial for improving patient outcomes.

Purpose of the Study:

To compare outcomes of different kidney transplantation approaches in patients with primary hyperoxaluria.
To evaluate kidney graft survival rates based on transplant type (kidney alone vs. combined kidney and liver) and time period.

Main Methods:

Life-table methods were used to analyze data from the International Primary Hyperoxaluria Registry.
Kidney graft survival was assessed for 203 patients undergoing 84 kidney transplants (K) and combined kidney and liver (K + L) transplants between 1976 and 2009.

Main Results:

One-, 3-, and 5-year kidney graft survival for first transplants was 82%, 68%, and 49%, respectively.
Combined kidney and liver (K + L) transplants showed significantly better death-censored graft survival (95% at 3 years) compared to kidney alone (K) transplants (56% at 3 years).
Recent transplants (2000-09), particularly K + L, demonstrated improved 3-year graft survival (84%) compared to earlier periods (55%).

Conclusions:

Combined kidney and liver transplantation is a highly successful strategy for primary hyperoxaluria.
Transplantation outcomes in PH have improved, with recent combined procedures yielding excellent results.
Recurrent oxalosis is responsible for a smaller proportion of graft losses than previously thought.