[Kidney transplant with pediatric grafts from donors under a year old. The implantation technics]

Although the number of renal transplants performed in our country is high, it is far surpassed by the number of patients with end-stage chronic renal failure awaiting transplantation. The foregoing has led to the use of grafts from donors aged less than one year. Our series of 6 renal transplants in adults using grafts from these donors are presented. Both kidneys were transplanted in all cases, but two different techniques were utilized. The kidneys were transplanted "en bloc" in 4 cases and sequentially into the right iliac fossa in 2 cases. In 2 of the cases submitted to "en bloc" transplantation, the grafts never functioned and were lost due to venous thrombosis. The remaining cases (2 "en bloc" and 2 sequential) are functioning well at 6 to 20 months follow-up, with no vascular or urinary complication. In our view, the kidneys from pediatric donors less than one year old are an acceptable alternative for transplantation into adult patients using the classical "en bloc" or the sequential technique, although in certain aspects the latter may offer more advantages over the former.