Urological complications occur frequently following transplantation of deceased cardiac donor (DCD) kidneys but do not affect graft survival, researchers in the Netherlands have concluded.
In a study of 76 DCD kidney transplantations, a team at Leiden University Medical Centre examined urological complications that occurred during the initial hospitalization until 30 days after discharge.
They also looked at graft survival until the last hospital visit. Urological complications occurred in 32 patients (42.1%), with leakage, obstruction, or both occurring in seven (9.2%).
Overall graft survival was 92% at one year and 88% at three years, which is comparable to the rate reported in the literature for kidneys from deceased heart-beating donors, the investigators observed.
Urological complications did not affect graft survival. Only a first warm-ischemia time of 30 minutes or more decreased graft survival.