Korean J Transplant.  2021 Jun;35(2):112-115. 10.4285/kjt.21.0003.

Outcomes of reused transplanted kidneys using cases from the Korean Network for Organ Sharing database

• Woo EJ
• Kim M
• Choi YJ
• Lee J
• Cho WH
• Park CI
• Kim Y
• Kim YH
• Kim T

• KMID: 2517294
• DOI: http://doi.org/10.4285/kjt.21.0003

Abstract

Due to organ shortages, the reuse of transplanted organs may be a good option for potential organ recipients. However, reports on the reuse of transplanted organs are rare. We retrospectively investigated cases of kidney donation since 2000 using the Korean Network for Organ Sharing database. Three cases of retransplanted kidneys were identified between 2000 and 2019. Of these three cases of kidney reuse, two involved reuse after a living-donor kidney transplant, and one case involved reuse after a deceased-donor kidney transplant. Another patient required a graftectomy due to bacterial infection immediately after transplantation. In two cases, the transplants were successful, and the kidneys have been functioning well for over 7 years. We believe that this case report highlights the opportunities for organ reuse among potential organ recipients and alleviates concerns about reused transplanted kidneys.

Keyword

Organ reuse; Kidney; Transplant; Adult; Follow-up studies

Reference

1. López-Navidad A, Caballero F. 2003; Extended criteria for organ acceptance: strategies for achieving organ safety and for increasing organ pool. Clin Transplant. 17:308–24. DOI: 10.1034/j.1399-0012.2003.00119.x. PMID: 12868987.

2. Pasic M, Gallino A, Carrel T, Maggiorini M, Laske A, von Segesser L, et al. 1993; Brief report: reuse of a transplanted heart. N Engl J Med. 328:319–20. DOI: 10.1056/NEJM199302043280505. PMID: 8419818.

3. Korea Legislation Research Institute. 2010. Internal organs, etc. Transplant act [Internet]. Korea Legislation Research Institute;Sejong: Available from: https://elaw.klri.re.kr/eng_mobile/viewer.do?hseq=29060&type=part&key=36. cited 2021 May 30.

4. Korean Network for Organ Sharing (KONOS). KONOS waiting list [Internet]. National Organ and Tissue Blood Management Service; 2014;Seoul: Available from: https://www.konos.go.kr/konosis/index.jsp. cited 2020.

5. Park SJ, Oh SH, Kang MS, Kim TH, Kang SW, Yoon YC, et al. 2014; Reuse of a previously transplanted kidney from a deceased donor using Luminex virtual crossmatching: a case report. Transplant Proc. 46:2083–5. DOI: 10.1016/j.transproceed.2014.06.015. PMID: 25131112.

6. Nemec P, Bedanova H, Ostrizek T. 2010; Successful re-use of the transplanted heart. Ann Thorac Surg. 90:1337–8. DOI: 10.1016/j.athoracsur.2010.03.025. PMID: 20868839.