RESUMO
94 patients with renal allograft from a living related donor were studied in three different groups: 1 Patients with identical histocompatibility (n-32), treated with prednisone (PDN) and azathioprine (Aza); 2 Haploidentical patients (34) who received PDN, Aza and cyclosporine (CsA); 3 Haploidentical patients (28) who previous to the transplantation received specific donor blood transfusions and Aza/PDN after the transplantation. The survival for the patient and the graft after five years was 100% and 96% in group 1; 97% y 89% in group 2 and 82% and 72% in group 3. Five patients in group 1 received CsA also. There was no mortality in group 1, while there were one death in group 2 and two more in group 3. There was no significant difference between CsA and Blood transfusions in the patients and grafts survival.
Assuntos
Transfusão de Sangue , Terapia de Imunossupressão/métodos , Transplante de Rim/imunologia , Adolescente , Adulto , Azatioprina/administração & dosagem , Transfusão de Sangue/estatística & dados numéricos , Intervalos de Confiança , Ciclosporina/administração & dosagem , Feminino , Sobrevivência de Enxerto , Humanos , Terapia de Imunossupressão/estatística & dados numéricos , Transplante de Rim/mortalidade , Transplante de Rim/estatística & dados numéricos , Masculino , Razão de Chances , Prednisona/administração & dosagem , Análise de SobrevidaRESUMO
Kidney transplants are carried out as any other surgical procedure at specialized third level hospitals. For over 20 years, in Mexico, transplants have been done with kidneys originating from cadavers. Even though this has been of tremendous help, there is still a shortage of donors. Two successful cases of kidney transplants are presented where the donor was an anencephalic neonate and where segments of the aorta and vena cava were used to keep alive the kidney tissue enough for the corporal surface of a child and also that of an adult.