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Nephrol Dial Transplant (2002) 17: 715-716
© 2002 European Renal Association-European Dialysis and Transplant Association

Controversies

Very short ischaemia is not the answer

Gerhard Opelz

Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Germany

Keywords: HLA matching; transplantation

Gillich et al. [1] report on an excellent transplant success rate of 77 kidney grafts performed over a 10-year period, using cadaver donor organs that were obtained and transplanted locally, without taking HLA matching into consideration. They hypothesize that the good result was due to the fact that the kidneys were not exposed to prolonged ischaemic preservation. Paired kidneys that were shipped to other centres via the auspices of Eurotransplant were exposed to cold ischaemia on average 10 h longer. Although the graft success rate of these kidneys was similar, they were transplanted into recipients . . . [Full Text of this Article]

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