Transoperative Hemodynamic Status and Delayed Graft Function: Analysis of 42 Consecutive Renal Transplantation

Objective: Evaluate the correlation between transoperative hemodynamic status and development of delayed graft function (DGF) in patients undergoing kidney transplantation. Methods: We analyzed 42 consecutive renal transplants May 2021 2022 a University Hospital. Four kinds variables were assessed. Recipients variables: age, gender, race, type dialysis, dialysis time before transplantation residual diuresis. Donor serum creatinine level, death cause, laterality (right or left kidney), perfusion solution Kidney Profile Index (KDPI). Surgical cold Ischemia (CIT), vascular multiplicity, surgeon, duration surgery blood pressure during procedure. Immunological Panel reactive antibodies (PRA), HLA mismatches need induction therapy with antithymocyte globulin. Results: In univariate analysis, regarding recipients’ factors, (hemodyalisis) (p=0.004) absence diuresis (p=0.011) significant on DGF. Among donors, only kidney) was statiscally (p=0.005). The ischemia higher than 24 hours (p=0.022), systolic (SBP) less 130 mmHg at reperfusion (p<0.001), Mean Arterial Pressure (MAP) 80 mean MAP post-reperfusion (p=0.049) surgical factors for immunological that received globulin as more frequently developed DGF (p=0.036). Only < SBP 130m (p=0.005) independent risk Conclusion: this survey, optimal perfusion, avoiding fall period, especially after reperfusion, is crucial immediate functioning