Máquina de perfusión renal en el donante subóptimo: una mirada hacia el futuro

Estefanía Iglesias González; Joan Torras Ambros

Estefanía Iglesias González Departamento Extracción Multiorgánica y Trasplante Renal, Hospital Universitario de Bellvitge (L’Hospitalet de Llobregat, España)
Joan Torras Ambros Departamento de Nefrología, Hospital Universitario de Bellvitge (L’Hospitalet de Llobregat, España)

Palabras clave: Preservación, Máquina de perfusión hipotérmica, Trasplante renal

Key-words: Preservation, Hypothermic perfusion machine, Kidney transplant

Resumen

El incremento en la esperanza de vida y la prevalencia de enfermedades crónicas y oncológicas ha generado un mayor número de personas que requieren un trasplante. Sin embargo, la reducción progresiva de donantes jóvenes y al cambio del perfil actual del donante de órganos el papel del método de conservación parece ser crucial en el resultado del trasplante renal. La preocupación de los trasplantadores por mejorar la calidad de los órganos donados, así́ como, la necesidad de recurrir a donantes con criterios expandidos dada la escasez de órganos y la imposibilidad de valorar su viabilidad antes del trasplante, ha impulsado en los últimos años el desarrollo de métodos de preservación mejores para estos órganos menos adecuados. El mantenimiento de la viabilidad de los órganos durante la preservación se ha convertido en un reto.

Abstract

The increase in life expectancy and the prevalence of chronic diseases and oncological pathology generates a greater number of people that require a transplant. However, the progressive reduction of young donors and the change in the current profile of the organ donor, the role of the conservation method seems to be crucial in the outcome of kidney transplantation. The concern of transplant recipients to improve the quality of donated organs, as well as the need to resort to donors with expanded criteria given the shortage of organs and the impossibility of assessing the viability before transplantation, has led in recent years the development of better preservation methods for these less suitable organs. The maintenance of organ viability during preservation has become a challenge.

Bibliografía

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Máquina de perfusión renal en el donante subóptimo: una mirada hacia el futuro

Renal perfusion machine in the suboptimal donor: a look into the future

Resumen

Abstract

Bibliografía