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Elec FI, Lucan C, Ghervan L, et al. Ex-vivo perfusion machines in kidney transplantation. The significance of the resistivity index. Clujul Med. 2014;87(1):27-9doi: 10.15386/cjm.2014.8872.871.fie1.
Elec, F. I., Lucan, C., Ghervan, L., Munteanu, V., Moga, S., Suciu, M., Enache, D., Elec, A., Munteanu, A., Barbos, A., Iacob, G., & Lucan, M. (2014). Ex-vivo perfusion machines in kidney transplantation. The significance of the resistivity index. Clujul medical (1957), 87(1), 27-9. https://doi.org/10.15386/cjm.2014.8872.871.fie1
Elec, Florin Ioan, et al. "Ex-vivo perfusion machines in kidney transplantation. The significance of the resistivity index." Clujul medical (1957) vol. 87,1 (2014): 27-9. doi: https://doi.org/10.15386/cjm.2014.8872.871.fie1
Elec FI, Lucan C, Ghervan L, Munteanu V, Moga S, Suciu M, Enache D, Elec A, Munteanu A, Barbos A, Iacob G, Lucan M. Ex-vivo perfusion machines in kidney transplantation. The significance of the resistivity index. Clujul Med. 2014;87(1):27-9. doi: 10.15386/cjm.2014.8872.871.fie1. Epub 2014 Jan 30. PMID: 26527992; PMCID: PMC4462411.
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Clujul Med. 2014;87(1):27-9. doi: 10.15386/cjm.2014.8872.871.fie1. Epub 2014 Jan 30.

Ex-vivo perfusion machines in kidney transplantation. The significance of the resistivity index.

Clujul medical (1957)

Florin Ioan Elec, Ciprian Lucan, Liviu Ghervan, Valentin Munteanu, Silviu Moga, Mihai Suciu, Dan Enache, Alina Elec, Adriana Munteanu, Adrian Barbos, Gheorghita Iacob, Mihai Lucan

Affiliations

  1. Clinical Institute of Urology and Renal Transplantation Cluj-Napoca.

PMID: 26527992 PMCID: PMC4462411 DOI: 10.15386/cjm.2014.8872.871.fie1

Abstract

INTRODUCTION: With a growing shortage of organs for transplantation, finding ways of increasing the donor organ pool remains of utmost importance. Perfusion machines (PM) have been proven to enhance the potential for kidney transplants to function sooner, last longer, giving patients the opportunity for a better life quality.

OBJECTIVE: The aim of this study is to evaluate the relation between the resistance index provided by the PM, the postoperative resistance index measured by Doppler ultrasound and the initial graft outcome.

MATERIAL AND METHOD: Between January 2012-December 2012, clinical data obtained from 82 consecutive renal transplants from brain death donors (BDD) which underwent PM maintenance were analyzed in a transversal study. Prior transplantation we recorded the solution temperature, filtration rate and the resistance index provided by PM. After the surgical intervention, each patient had standard follow-up. Doppler ultrasound resistivity index (RI) was recorded on the first postoperative day.

RESULTS: Out of 115 renal transplants, 98 (85.21%) were performed with grafts from BDD. The PM was used for 82 renal grafts. The Doppler resistance index in relation to the resistance index shows a highly statistical correlation by linear regression (R=0.813, p<0.0001). Primary graft function was recorded in 74 patients (90.24%) and it was highly statistically significant correlated with the resistance index measured by PM. Out of 8 patients with primary non-function, 6 patients recovered with normal graft function at one year.

CONCLUSION: The resistivity index recorded by the life-port machine is correlated with the vascular resistivity index measured by Doppler ultrasound and thus it may predicts the primary graft outcome.

Keywords: Graft quality; perfusion machine; post-transplant Doppler ultrasound; renal transplantation

References

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