The value of repeated renal retransplantations

Transplantation. 1990 Dec;50(6):984-6. doi: 10.1097/00007890-199012000-00017.

Abstract

The outcome of 64 repeated renal retransplantations (50 third, 13 fourth, and 1 fifth) during a period of 25 years was retrospectively evaluated. The prognosis of third and subsequent grafting was greatly improved if cyclosporine was included in the induction immunosuppressive regimen (one-year graft survival 79.9%, compared with 32.4% if CsA was not used). The onset of graft function was not delayed by CsA and the proportion of never functioning grafts was significantly lower (5.3%) in patients treated with CsA than in those treated without it (43.2%). Survival of the previous grafts for longer than one year favorably influenced the outcome of the subsequent grafts.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cyclosporins / therapeutic use
  • Female
  • Graft Survival
  • HLA-A Antigens / analysis
  • HLA-B Antigens / analysis
  • HLA-DR Antigens / analysis
  • Humans
  • Kidney Transplantation* / mortality
  • Male
  • Middle Aged
  • Reoperation
  • Survival Rate

Substances

  • Cyclosporins
  • HLA-A Antigens
  • HLA-B Antigens
  • HLA-DR Antigens