Anzeige
Erschienen in:
31.12.2016 | Original Article
Renal transplantation outcomes following heart and heart–lung transplantation
Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 4/2017
Einloggen, um Zugang zu erhaltenAbstract
Background
Chronic kidney disease is a frequent complication following heart and combined heart–lung transplantation. The aim of this study was to analyse the outcome of a subsequent renal transplant in heart, lung and heart–lung transplantation recipients.
Methods
All heart, lung and heart–lung transplant recipients who received a subsequent renal transplant over a 27-year period in a national heart and lung transplant centre were included in this study.
Results
A total of 18 patients who had previously undergone heart (n = 6), lung (n = 7) and heart–lung (n = 5) transplantation received a renal transplant. The mean duration to development of end-stage kidney disease (ESKD) was 115 ± 45.9 months. The most common contributor to ESKD was calcineurin inhibitor nephrotoxicity. The 5-year patient survival and graft survival rates were 91.7 and 85.6%, respectively. The median creatinine level at the most recent follow-up was 123 μmol/L, IQR 90.8–147.5.
Conclusions
The overall outcome of renal transplantation following previous non-renal solid organ transplantation is excellent considering the medical complexity and co-morbidities of this patient population. Renal transplantation represents an important treatment option for ESKD in non-renal solid organ transplant recipients.