RSS-Feed abonnieren
DOI: 10.1055/a-2597-6317
Transplantationsergebnisse nach Nieren- und Nieren-Pankreas-Transplantation
Autoren
Zusammenfassung
Zahlreiche Faktoren haben in ihrer Gesamtheit eine komplexe Auswirkung auf das Transplantationsoutcome. Die Allokationsalgorithmen bei Eurotransplant sehen z. B. besondere Punkte bei hoher Dringlichkeit vor, berücksichtigen jedoch beispielsweise nicht den Faktor einer wiederholten Transplantation. Dieser Artikel befasst sich mit den Ergebnissen nach Nieren- und Nieren-Pankreas- Transplantation unter Berücksichtigung der verschiedenen Einflüsse wie wiederholte Retransplantation, Rescue-Allokation und High-Urgency-Allokation.
Publikationsverlauf
Artikel online veröffentlicht:
03. Oktober 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
Literatur
- 1 Heldal K, Hartmann A, Lonning K. et al. Should patients older than 65 years be offered a second kidney transplant?. BMC Nephrol 2017; 18: 13
- 2 McCaughan JA, Patterson CC, Maxwell AP. et al. Factors influencing survival after kidney transplant failure. Transplant Res 2014; 3 18
- 3 Hornberger JC, Best JH, Garrison Jr. LP. Cost-effectiveness of repeat medical procedures: kidney transplantation as an example. Med Decis Making 1997; 17: 363-372
- 4 Heidt S, Kramer CSM, Haasnoot GW. et al. Introduction of the donor centre virtual crossmatch in Eurotransplant. HLA 2024; 104 e15653
- 5 Giessing M, Fuller TF, Friedersdorff F. et al. Comparison of first and second kidney transplants from the same deceased donor. Nephrol Dial Transplant 2010; 25: 4055-4061
- 6 Arndorfer JA, Meier-Kriesche HU, Ojo AO. et al. Time to first graft loss as a risk factor for second renal allograft loss. Transplant Proc 2001; 33: 1188-1189
- 7 Assfalg V, Selig K, Tolksdorf J. et al. Repeated kidney re-transplantation-the Eurotransplant experience: a retrospective multicenter outcome analysis. Transpl Int 2020; 33: 617-631
- 8 Kousoulas L, Vondran FW, Syryca P. et al. Risk-adjusted analysis of relevant outcome drivers for patients after more than two kidney transplants. J Transplant 2015; 2015: 712049
- 9 Assfalg V, Huser N. Repeated kidney re-transplantation in times of organ shortage – a critical review. Curr Opin Organ Transplant 2021; 26: 106-111
- 10 Morath C, Susal C. Three is not enough. Transpl Int 2020; 33: 612-614
- 11 Assfalg V, Miller G, Stocker F. et al. Rescue Allocation Modes in Eurotransplant Kidney Transplantation: Recipient Oriented Extended Allocation Versus Competitive Rescue Allocation-A Retrospective Multicenter Outcome Analysis. Transplantation 2024; 108: 1200-1211
- 12 Meier-Kriesche HU, Kaplan B. Waiting time on dialysis as the strongest modifiable risk factor for renal transplant outcomes: a paired donor kidney analysis. Transplantation 2002; 74: 1377-1381
- 13 Assfalg V, Misselwitz S, Renders L. et al. Kidney transplantation after rescue allocation-meticulous selection yields the chance for excellent outcome. Nephrol Dial Transplant 2021; 36: 551-560
- 14 Wahba R, Teschner S, Stippel DL. Results of kidney transplantation after rescue allocation. Transpl Int 2011; 24 e46 -47
- 15 Wolfe RA, Ashby VB, Milford EL. et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med 1999; 341: 1725-1730
- 16 Goldberg DS, Abt PL, Blumberg EA. et al. Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients. N Engl J Med 2017; 376: 2394-2395
- 17 Assfalg V, Huser N, van Meel M. et al. High-urgency kidney transplantation in the Eurotransplant Kidney Allocation System: success or waste of organs? The Eurotransplant 15-year all-centre survey. Nephrol Dial Transplant 2016; 31: 1515-1522
- 18 Cukor D, Peterson RA, Cohen SD. et al. Depression in end-stage renal disease hemodialysis patients. Nat Clin Pract Nephrol 2006; 2: 678-687
- 19 Assfalg V, Miller G, Stocker F. et al. Kidney Transplantation After Rescue Allocation-the Eurotransplant Experience: A Retrospective Multicenter Outcome Analysis. Transplantation 2022; 106: 1215-1226
- 20 Messner F, Yu Y, Etra JW. et al. Donor cardiac arrest and cardiopulmonary resuscitation: impact on outcomes after simultaneous pancreas-kidney transplantation – a retrospective study. Transpl Int 2020; 33: 657-666
- 21 Assfalg V, Stocker F, Huser N. et al. Combined Pancreas-kidney Transplantation After Rescue Allocation: The Eurotransplant Experience: A Retrospective Multicenter Outcome Analysis. Transplantation 2025; 109: 1437-1448
- 22 Eurotransplant International Foundation. Eurotransplant Annual Report 2023 Im Internet: https://www.eurotransplant.org/2024/06/11/eurotransplant-publishes-annual-report-2023/ Stand: 06.07.2025
