164時間の無尿期間を呈したドナーから生着を得た心停止下献腎移植の1例

近藤 晃; 添野 真嗣; 三宮 彰仁; 山崎 智貴; 森田 さやか; 蜂須賀 健; 富田 祐介; 三木 克幸; 小川 勇一; 安藤 哲郎; 頓所 展; 岩藤 和広; 甲斐 耕太郎; 村上 徹; 小山 一郎; 北島 久視子; 中島 一朗; 渕之上 昌平

doi:10.11386/jst.53.6_357

Case Report

Successful kidney transplantation from a cardiac death donor after 164 hours of anuria: A case report

Akira KONDO, Masatsugu SOENO, Akihito SANNOMIYA, Tomotaka YAMAZAKI, Sayaka MORITA, Takeshi HACHISUKA, Yusuke TOMITA, Katsuyuki MIKI, Yuichi OGAWA, Tetsuo ANDO, Makoto TONSHO, Kazuhiro IWADOH, Kotaro KAI, Toru MURAKAMI, Ichiro KOYAMA, Kumiko KITAJIMA, Ichiro NAKAJIMA, Shohei FUCHINOUE

Author information

Akira KONDO
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Department of Kidney Surgery, Hidaka Hospital
Masatsugu SOENO
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Akihito SANNOMIYA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Tomotaka YAMAZAKI
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Sayaka MORITA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Takeshi HACHISUKA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Yusuke TOMITA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Katsuyuki MIKI
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Yuichi OGAWA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Department of Kidney Surgery, Hidaka Hospital
Tetsuo ANDO
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Makoto TONSHO
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Kazuhiro IWADOH
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Kotaro KAI
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Toru MURAKAMI
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Ichiro KOYAMA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Kumiko KITAJIMA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Ichiro NAKAJIMA
Department of Surgery, Kidney Center, Tokyo Women’s Medical University
Shohei FUCHINOUE
Department of Surgery, Kidney Center, Tokyo Women’s Medical University

Keywords: deceased kidney transplantation, non-heart beating donor, anuria

JOURNAL FREE ACCESS

2018 Volume 53 Issue 6 Pages 357-363

DOI https://doi.org/10.11386/jst.53.6_357

Details

Abstract

We present our experience of successful kidney transplantation from a cardiac death donor with period of anuria for 164 hours. The donor was a woman in her thirties who was diagnosed as having incurred brain death due to suicide by hanging herself and had been anuric for 164 hours before cardiac arrest. A 46-year-old man received a deceased kidney transplantation, and the renal graft showed prompt urination on postoperative day (POD) 1. He got off hemodialysis on POD 9. His serum creatinine level was maintained at as low as 1.0 mg/dL 9 months after the surgery. In the face of a serious shortage in the donor pool, this anuric case indicated that acute tubular necrosis in a deceased donor due to a prolonged agonal stage might not be a contraindication for kidney transplantation.

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