Effect of Acute Posttransplant Renal Failure on the Survival of Perfused Cadaver Kidneys

Authors

Krishna D. Valjee
Luis H. Toledo-Pereyra
Stanley G. Dienst
Heung K. Oh
Daniel S. Marks
Pedro Cortes
Cosme Cruz
Godofredo Santiago
Nathan W. Levin

Abstract

Between 7973 and 7977 we encountered 22 cases of acute renal failure after transplantation in 70 patients who received perfused cadaver kidneys. Nearly two-thirds of 76 nonfunctioning grafts were lost due to subsequent superimposed rejection, often undetected and, hence, untreated. Thirty-one percent of the 76 recovered function. The recovery rate, we believe, can be improved by earlier diagnosis and treatment of rejection and by avoiding invasive diagnostic procedures in the early postoperative period. If the oliguric period extends beyond two weeks, a closed percutaneous renal biopsy is justified. The diagnosis of rejection and/or other abnormality as well as subsequent treatment are very important in these patients.

Recommended Citation

Valjee, Krishna D.; Toledo-Pereyra, Luis H.; Dienst, Stanley G.; Oh, Heung K.; Marks, Daniel S.; Cortes, Pedro; Cruz, Cosme; Santiago, Godofredo; and Levin, Nathan W. (1978) "Effect of Acute Posttransplant Renal Failure on the Survival of Perfused Cadaver Kidneys," Henry Ford Hospital Medical Journal : Vol. 26 : No. 3 , 5-12.
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol26/iss3/3