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Factors Influencing Outcome of Kidney Allografts From Pretreated Cadaveric Donors
Sylvester Sterioff, MD;
Horst Zincke, MD;
Wayne C. Waltzer, MD;
S. Breanndan Moore, MD;
Peter P. Frohnert, MD;
Kenneth P. Offord, MS
Arch Surg. 1981;116(1):73-77.
Abstract
A five-year retrospective analysis of patient and graft survival after initial cadaveric kidney transplantation showed that recipients of kidneys from cadaveric donors pretreated with cyclophosphamide (Cytoxan) and methylprednisolone (Medrol) had better graft survival than those patients who received nonpretreated kidneys. In patients not receiving transfusions, transplantation of a pretreated kidney improved the chances of success, with graft survival equivalent to that for patients receiving transfusions. Splenectomy was beneficial for graft survival and did not affect overall patient survival. The effect of splenectomy could not be clearly separated from the effect of donor pretreatment.
(Arch Surg 116:73-77, 1981)
Author Affiliations
From the Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
Accepted for publication June 19, 1980.
Reprint requests to Section of General Surgery, Mayo Clinic, Rochester, MN 55901 (Dr Sterioff).
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