Elimination of warm ischemia using the Ice Bag Technique does not decrease delayed graft function

Farah Karipineni, Stalin Campos, Afshin Parsikia, Joel B. Durinka, Po Nan Chang, Kamran Khanmoradi, Radi Zaki, Jorge Ortiz

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Background: Warm ischemic time (WIT) in kidney transplantation has significant effects on graft survival, function, and postoperative morbidity. We utilized the Ice Bag Technique (IBT) to determine if eliminating WIT would decrease the incidence and length of delayed graft function (DGF) in our cohort. Methods: We conducted a prospective study of 150 kidney transplants. We compared the elimination of WIT with IBT to traditional methods. Data was analyzed using non-parametric statistical tests. Results: 66 of the 134 patients underwent transplantation using IBT. 28 right kidneys, 34 left kidneys, and 4 dual kidneys were implanted successfully. Patients with a body mass index (BMI) as high as 41 were transplanted. Kidneys with up to three arteries and two veins, and kidneys up to 15.5 by 9cm in size were safely transplanted into either iliac fossa. Despite the complete elimination of WIT, there was no difference in DGF, length of DGF, length of stay graft rejection, graft survival, patient survival, or wound or urologic complications between groups (p>0.05). Conclusions: The elimination of warm ischemic time using the IBT does not appear to reduce the incidence or length of DGF in this cohort. The technique may be useful for cases with prolonged anastomosis time (AT), but further studies with larger cohorts are required to determine whether it decreases DGF.

Original languageEnglish (US)
Pages (from-to)551-556
Number of pages6
JournalInternational Journal of Surgery
Issue number6
StatePublished - 2014

All Science Journal Classification (ASJC) codes

  • Surgery


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