ABO-incompatible living-donor pediatric kidney transplantation in Japan

Atsushi Aikawa1, Takeshi Kawamura1, Seichiro Shishido2

  • 1Department of Nephrology, Faculty of Medicine, Toho University, Tokyo, Japan.

Insights

This study analyzed data from 89 children undergoing pediatric ABO-incompatible living-donor kidney transplantation between 1989 and 2011. The findings were presented to the International Pediatric Transplantation Association (IPTA).

Area of Science:

  • Nephrology
  • Pediatric Transplantation
  • Immunology

Background:

  • ABO-incompatible kidney transplantation is a viable option for pediatric patients.
  • Living-donor kidney transplantation offers an alternative when deceased donors are unavailable.

Purpose of the Study:

  • To analyze the outcomes of pediatric ABO-incompatible living-donor kidney transplantation in Japan.
  • To establish a comprehensive registry of these procedures.

Main Methods:

  • Data collection and analysis by the Japanese ABO-Incompatible Transplantation Committee.
  • Inclusion of 89 pediatric patients (<16 years) who underwent transplantation between 1989 and 2011.
  • Presentation of findings at International Pediatric Transplantation Association (IPTA) regional meetings.

Main Results:

  • The registry includes a significant cohort of pediatric ABO-incompatible living-donor kidney transplant recipients.
  • Data spans over two decades, providing long-term insights.
  • The findings were shared internationally, contributing to global knowledge.

Conclusions:

  • The Japanese registry provides valuable data on pediatric ABO-incompatible living-donor kidney transplantation.
  • International collaboration and data sharing are crucial for advancing pediatric transplantation.
  • Further analysis of this registry is expected to yield significant insights into outcomes and best practices.

Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
826
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
925
Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
3.0K
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
630