Skip to main content

The contribution of the non-heart-beating donor to the solution of the shortage of kidneys

  • Chapter
  • 115 Accesses

Abstract

With the improvements in quality of life and patient survival following kidney transplantation, the discrepancy between demand and supply of organs is increasing. The Eurotransplant figures from the annual report 1992 indicate four times as many patients on the waiting list as there are kidneys transplanted [1]. It is therefore necessary to look for sources of kidneys other than living related and heart-beating (HB) cadaver donors. Kidneys from living related donors offer a major contribution to successful transplantation, with excellent graft survival, but their number is restricted. Procurement of kidneys from heart-beating cadavers is inhibited by a high incidence of refusal by relatives [2]. The criteria for post mortem organ donation are gradually being liberalized, an example of which is the introduction of the notion ‘borderline or marginal donor’ [3].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Eurotransplant Annual Report 1992. Cohen B and Persijn G, ed. Eurotransplant foundation Leiden 1992: p. 31.

    Google Scholar 

  2. Buckley PE. The delicate question of the donor family. Transplant Proc 1989; 21: 1411.

    CAS  Google Scholar 

  3. Alexander.JW, Vaughn WK, Carey MA. The use of marginal donors for organ transplantation: the older and younger donors. Transplant Proc 1991; 23: 905–9.

    PubMed  CAS  Google Scholar 

  4. Booster MH, Wijncn RMH. Vroemen JPAM, van Hooff JP, Kootstra G. In situ preservation of kidneys from nonheart-beating donors: proposal for a standardized protocol. Transplantation 1993; 56: 513–17.

    Google Scholar 

  5. Belzer FO, Ashby BS. Dumphy JE. 24- and 72-hour preservation of canine kidneys. Lancet 1967; 2: 536.

    Article  PubMed  CAS  Google Scholar 

  6. Kozaki M, Matsuno N. Tamaki T, et al.Procurement of kidney grafts from non-heart-beating donors. Transplant Proc 1991; 23: 2575–8.

    PubMed  CAS  Google Scholar 

  7. Kootstra G, Wijncn RMH. van Hooff JP, van der Linden CJ. Twenty percent more kidneys through a non-heart-heating donor program. Transplant Proc 1991; 23: 910–11.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Kootstra, G., Booster, M.H., Wijnen, R.M.H., Bonke, H., Heineman, E. (1997). The contribution of the non-heart-beating donor to the solution of the shortage of kidneys. In: Collins, G.M., Dubernard, J.M., Land, W., Persijn, G.G. (eds) Procurement, Preservation and Allocation of Vascularized Organs. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5422-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-5422-2_11

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6280-0

  • Online ISBN: 978-94-011-5422-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics