Trends and outcomes in dual kidney transplantation- A narrative review

Amarpali Brar, Ernie Yap, Angelika C Gruessner, Rainer W G Gruessner, Rahul M. Jindal, Robert Nee, Moin Sattar, Moro O. Salifu

Research output: Contribution to journalArticle

Abstract

Dual kidney transplantation (DKT) is a viable option to increase the donor pool and improve access equity to kidney transplantation. Dual kidneys are procured from carefully selected marginal donors that are not generally acceptable to most transplant centers. This is a narrative review of literature focusing on donor kidney allocation systems and selection of the ideal recipient for DKT. We also discussed surgical approaches for DKTs as well as patient and allograft outcomes. We found that most studies to date showed that DKTs has similar graft survival and delayed graft function rates when compared to single kidney transplants (SKTs). DKT is technically feasible with outcomes that are comparable to expanded criteria donor kidneys (ECD); and has substantial potential in expanding the donor pool. For allograft survival, most studies with strict allocation criteria showed that graft survival was similar in DKT as compared to SKT – ECD transplants. Our review may encourage transplant centers to review their policies for donor and recipient selection leading to increase in DKT.

Original languageEnglish (US)
JournalTransplantation Reviews
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

Fingerprint

Kidney Transplantation
Tissue Donors
Kidney
Transplants
Graft Survival
Allografts
Delayed Graft Function
Donor Selection

Keywords

  • Allograft outcomes
  • Dual kidney transplantation
  • Estimated Post-Transplant Survival
  • KDPI
  • Kidney transplantation
  • Pre-implantation biopsy
  • Trends

ASJC Scopus subject areas

  • Transplantation

Cite this

Trends and outcomes in dual kidney transplantation- A narrative review. / Brar, Amarpali; Yap, Ernie; Gruessner, Angelika C; Gruessner, Rainer W G; Jindal, Rahul M.; Nee, Robert; Sattar, Moin; Salifu, Moro O.

In: Transplantation Reviews, 01.01.2019.

Research output: Contribution to journalArticle

Brar, Amarpali ; Yap, Ernie ; Gruessner, Angelika C ; Gruessner, Rainer W G ; Jindal, Rahul M. ; Nee, Robert ; Sattar, Moin ; Salifu, Moro O. / Trends and outcomes in dual kidney transplantation- A narrative review. In: Transplantation Reviews. 2019.
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