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  • Title: Long-term outcome of cadaveric pediatric en bloc transplantation--a 15-year experience.
    Author: Smyth GP, Eng MP, Power RP, Hickey DP, Little DM.
    Journal: Transplant Proc; 2005 Dec; 37(10):4228-9. PubMed ID: 16387085.
    Abstract:
    Pediatric en bloc transplantation of infant organs into adult recipients is a recognized technique to expand the number of kidneys available for transplantation. We reviewed our experience with this technique over a 15-year period to determine the long-term outcomes. Twelve patients underwent pediatric en bloc transplantation from donors aged <4 years. All transplants functioned immediately with no graft thrombosis. Two patients died 12 and 10 years posttransplant with functioning grafts. The remaining 10 recipients experienced excellent graft function with a mean follow-up time of 73.8 months (range, 10 to 169 months) with no evidence of hyperfiltration injury. We conclude that pediatric en bloc transplantations achieve excellent long-term allograft function in selected recipients.
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