Background

The shortage of organs for transplantation remains a global problem. The retransplantation of a previously transplanted kidney might be a possibility to expand the pool of donors. We provide our experience with the successful reuse of transplanted kidneys in the Eurotransplant region.

Methods

A query in the Eurotransplant database was performed between January 1, 1995 and December 31, 2015, to find kidney donors who themselves had previously received a kidney graft.

Results

9 out of a total of 68,554 allocated kidneys had previously been transplanted. 4 of these kidneys were transplanted once again. The mean interval between the first transplant and retransplantation was 1689±1682 days (SD; range 55-5,333 days). At the time of the first transplantation the mean serum creatinine of the donors was 1.0 mg/dl (0.6-1.3mg/dl) and at the second transplantation 1.4 mg/dl (0.8– 1.5mg/dl). The mean graft survival in the first recipient was 50 months (2-110 months) and in the second recipient 111 months (40 215 months).

Conclusion

Transplantation of a previously transplanted kidney may successfully be performed with well-preserved graft function and long term graft survival, even if the first transplantation was performed a long time ago. Such organs should be considered even for younger recipients in carefully selected cases.

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