RT Journal
A1 MacLean LD, MacKinnon KG, Inglis FG, Dossetor JB
T1 WHen should renal allografts be removed?
JF Archives of Surgery
JO Archives of Surgery
YR 1969
FD August 1
VO 99
IS 2
SP 269
OP 274
DO 10.1001/archsurg.1969.01340140141021
UL http://dx.doi.org/10.1001/archsurg.1969.01340140141021
AB Most patients who receive a cadaver renal transplant have not been offered a kidney from a related, potential donor and are, for a variety of reasons, unsuitable candidates for chronic hemodialysis. The paucity of suitable donors limits the number of transplants that can be performed, and requires some recipients to wait as long as two years before a suitable donor becomes available. Furthermore, to decrease the risk of failure, it has become customary to perform transplants only when no circulating cytotoxic antibodies against the prospective donor exist in the recipient,1 and when the histocompatibility locus A (HL-A) match between donor and recipient is C or better, using the nomenclature of Terasaki.1,2 Despite these precautions complications have developed in the transplant or in the recipient. Under such circumstances removal of the transplant in anticipation of a second or third transplant at a later date must be considered. If there