TY - JOUR
T1 - Elimination of warm ischemia using the Ice Bag Technique does not decrease delayed graft function
AU - Karipineni, Farah
AU - Campos, Stalin
AU - Parsikia, Afshin
AU - Durinka, Joel B.
AU - Chang, Po Nan
AU - Khanmoradi, Kamran
AU - Zaki, Radi
AU - Ortiz, Jorge
N1 - Funding Information:
The authors of this manuscript acknowledge that funding for this project was provided by a grant from the Albert Einstein Society in Philadelphia, United States. Sponsors had no role in the study design, data collection, data analysis/interpretation, writing of the manuscript, or article submission for publication.
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
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U2 - 10.1016/j.ijsu.2014.04.002
DO - 10.1016/j.ijsu.2014.04.002
M3 - Article
C2 - 24735894
AN - SCOPUS:84901921459
SN - 1743-9191
VL - 12
SP - 551
EP - 556
JO - International Journal of Surgery
JF - International Journal of Surgery
IS - 6
ER -