Procurement of kidneys from non heart beating donors

  • T. J. M. Ruers
  • J. P. A. M. Vroemen
  • J. A. Van der Vliet
  • G. Kootstra
Part of the Developments in Surgery book series (DISU, volume 5)


In the development of donor kidney procurement in the Netherlands two improvements can be noticed (Fig. 1). The first is the introduction of reimbursement of the procurement costs in 1974. The second is the appointment of transplant coordinators in the years 1978–1982. Nowadays five transplant coordinators are employed in the Netherlands. From 1974 to 1982 the yearly number of harvested kidneys was doubled (1). Since 1982, however, the number of harvested kidneys, mostly from heart beating cadaveric donors, has not increased. Presently 22 kidneys are retrieved per million inhabitants per year. The estimated need for the Netherlands is about 32 kidneys per million inhabitants per year (2). One of the possibilities to improve the supply of cadaveric kidneys for transplantation is to harvest kidneys from non- heartbeating donors (NHB).


Cold Storage Circulatory Arrest Donor Kidney Warm ischemIc Time Donor Nephrectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Cohen B: Eurotransplant Annual Report 1980 and 1981, Leiden, The Netherlands.Google Scholar
  2. 2.
    Van der Vliet JA, Kootstra G: The transplant coordinator: an answer to the shortage of cadaveric donor kidneys? Neth J Surg 34: 1, 1982.PubMedGoogle Scholar
  3. 3.
    Garcia-Rinaldi R, Lefrak EA, Defore WW et al: In situ preservation of cadaver kidneys for transplantation. Ann Surg 182: 576, 1975.PubMedCrossRefGoogle Scholar
  4. 4.
    Garvin PJ, Buttorf JD, Morgan R et al: In situ cold perfusion of kidneys for transplantation. Arch Surg 115: 180, 1980.PubMedCrossRefGoogle Scholar
  5. 5.
    Van der Vliet JA, Slooff MJH, Rijkmans BG et al: Use of non-heart-beating donor kidneys for transplantation. Eur Surg Res 13: 354, 1981.PubMedCrossRefGoogle Scholar
  6. 6.
    Vroemen JPAM, Van der Vliet JA, Kootstra G: The emergency in situ preservation of kidneys for transplantation. Neth Journ Surg 35: 2, 1983.Google Scholar
  7. 7.
    Beizer FO, Kountz SL: Preservation and transplantation of human cadaver kidneys. Ann Surg 172: 394, 1970.CrossRefGoogle Scholar
  8. 8.
    Beizer FO: Renal preservation. N Engl J Med 291: 402, 1974.CrossRefGoogle Scholar
  9. 9.
    Baxby K, Johnson RWG. Prediction of kidney viability before transplantation. Br J Surg 62: 810, 1975.PubMedCrossRefGoogle Scholar
  10. 10.
    Van der Vliet JA, Kootstra G, Krom RAF: Cadaveric organ retrieval for transplantation. World J Surg 6: 478, 1982.PubMedCrossRefGoogle Scholar
  11. 11.
    Barry JM, Farnsworth MA, Bennett WM: Human kidney preservation by flushing with intra-cellular solution and cold storage. Arch Surg 113: 830, 1978.PubMedCrossRefGoogle Scholar
  12. 12.
    Squifflet JP, Pirson Y, Gianello P et al: Safe preservation of human renal cadaver transplants by Euro-Collins solution up to 50 hours. Transplant Proc 13: 693, 1981.PubMedGoogle Scholar
  13. 13.
    Barry JM, Lieberman S, Wickre C et al: Human kidney preservation by intracellular electrolyte flush followed by cold storage for over 24 hours. Transplantation 32: 485, 1981.PubMedCrossRefGoogle Scholar
  14. 14.
    Barry JM, Metcalfe JB, Farnsworth MA et al. Comparison of intracellular flushing and cold storage to machine perfusion for human kidney preservation. J Urol 123: 14, 1980.PubMedGoogle Scholar
  15. 15.
    Opelz G, Terasaki PI. Advantage of cold storage over machine perfusion for preservation of cadaver kidneys. Transplantation 33: 64, 1982.PubMedCrossRefGoogle Scholar
  16. 16.
    Marchall VC: Renal preservation prior to transplantation. Transplantation 30: 165, 1980.CrossRefGoogle Scholar
  17. 17.
    Collins GM, Halasz NA. Clinical comparison of methods for cadaveric kidney preservation. J Surg Res 24: 396, 1978.PubMedCrossRefGoogle Scholar
  18. 18.
    Slooff MJH, Van der Wijk J, Rijkmans BG et al: Machine perfusion versus cold storage for preservation of kidneys before transplantation. Arch Chir Neerl 30: 84, 1978.Google Scholar
  19. 19.
    Beizer FO, Southard JH. The future of kidney preservation. Transplantation 30: 161, 1980.CrossRefGoogle Scholar
  20. 20.
    Van der Vliet JA, Vroemen JPAM, Cohen B et al: Preservation of cadaver kidneys; cold storage or machine perfusion? Arch Surg (in press).Google Scholar
  21. 21.
    Halasz NA, Collins GM: Forty-eight-hour kidney preservation. Arch Surg 111: 175, 1976.PubMedCrossRefGoogle Scholar
  22. 22.
    Johnson RWG, Anderson M, Marley AR et al: Twenty-four-hour preservation of kidneys injured by prolonged warm ischaemia. Transplantation 13: 174, 1972.PubMedCrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers, The Hague 1984

Authors and Affiliations

  • T. J. M. Ruers
  • J. P. A. M. Vroemen
  • J. A. Van der Vliet
  • G. Kootstra

There are no affiliations available

Personalised recommendations