![]() In the Eurotransplant, 17.9% of those on the waiting list are listed for repeat kidney transplantation, and 13.7% of the procedures performed was a repeat one in 2019 ( ). The rate of repeat transplantation was increasing in the USA from 1996 to 2005, reaching 12.4%, while potential retransplant recipients represented 16.1% of all kidney candidates. ![]() Chronic graft failure is still a major problem, and especially younger recipients of the primer graft might need a second or third transplantation. Careful selection is required to minimize the patient risk and graft loss.ĭespite significant improvements in the last five decades, the real half-life of kidney grafts is still around 8 years, substantially shorter than projected half-lives. In a third transplant, both graft and patient survival are significantly inferior to primer ones. Of PRT 85.76%, out of PRT 85.76%, while out of TRT 60% live with a functioning graft, p=0.00149. TRT’s odds ratio of graft loss is 3.14 (1.1–8.9). TRT’s odds ratio of fatal outcome is 4.35 (1.5–12.5). Induction therapy was given to every TRT (7.9% vs.100%), but as a result, the rejection rate was the same (~ 15%). 152 min, p = 0.02), and delayed graft function is much more frequent (22.4% vs. HCV infection rate (20%, p = 0.00) is ten times higher. ![]() We compared the pre-, intra-, and postoperative data, kidney function, and survival rate. Methodsīetween 20, we performed 779 deceased donor adult kidney transplantations, 14.2% out of them were second, 2.6% (20) third, and 0.3% fourth. We compared the results of first (PRT) versus third (TRT) transplantations. Third transplants are significantly more complex than first and second ones. In the Eurotransplant, 12.6% of kidney transplantations are a repeat procedure.
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