Simultaneous Heart and Kidney Transplantation Using Circulatory Death Donors: Are Kidney Graft Outcomes Comparable With Brain Death Donors?

ABSTRACT:

Background

There is limited evidence on heart and kidney transplants using donation after circulatory death (DCD) donors, especially regarding graft outcomes. However, little is known about the use of DCD donors for simultaneous heart and kidney transplants (SHKTs) compared with SHKTs using donation after brain death (DBD) donors.

Methods

From May 22, 2020, to September 30, 2023, 1129 adult patients received SHKTs (DCD, N = 91 versus DBD, N = 1038), identified using the United Network for Organ Sharing database, excluding other multiorgan transplants and retransplants. A propensity score matching was performed using characteristics. Ninety-one DCD- and 273 DBD-matched cases were compared.

Results

In the unmatched cohort, DCD recipients were older (DCD: 60 versus DBD:

SUBMITTER: Tavolacci SC 

PROVIDER: S-EPMC12448170 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature