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Brain dead donor kidneys are immunologically active: is intervention justified?
Vergoulas, G; Boura, P; Efstathiadis, G.
Afiliación
  • Vergoulas G; Organ Transplant Unit, Hippokratio General Hospital, Thessaloniki, Greece. geover@otenet.gr
Hippokratia ; 13(4): 205-10, 2009 Oct.
Article en En | MEDLINE | ID: mdl-20011083
The improvement in the field of kidney transplantation, during the last decades, has brought kindey transplantation to the top of patient preference as the best kidney replacement therapy. The use of marginal kidney grafts, which are highly immunogenic has become common practice because of lack of kidney donors. Inflammatory activity in the kidneys after brain death is an ongoing phenomenon. The inappropriate treatment of brain dead donor may result to primary non function (PNF) of the graft, delayed graft function (DGF) or to long term graft dysfunction and shortened graft survival. Therefore correct handling of the brain dead donor is of paramount importance. The impact of various pharmacologic agents (catecholamines, glucocorticoids, carbamylated recombinant human erythropoietin, recombinant soluble P-selectin glycoprotein ligant, heme oxygenase-1, carbon monoxide, and mycophenolate mofetil) on the immunogenicity of brain dead donor kidneys is discussed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Hippokratia Año: 2009 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Grecia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Hippokratia Año: 2009 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Grecia