Risk Factors and Results of Second Renal Allografts
Between August 83 and April 97, 8% of 746 kidney transplants (KT) were retransplants. We analysed the prognostic factors of the regraft survival and compared the results with the corresponding pairs. Sixty patients with 36 ± 11 years old were retransplanted with cadaveric kidney, 28.8 ± 23 months after the loss of the first graft. The immunosup-pression used was: quadruple (n = 45), ATG (n = 7) cyclosporine (n = 6), triple (n = 1), Aza (n= 1). We could find no influence of the studied variables (cause of first graft failure, duration of primary graft function, time between primary graft failure and retransplant, immunosuppression schedule, last PRA, nephrectomy of the first graft, sex and donor age) on regraft survival. Peak PRA > 30% or less than 4 AB matching statistically decrease second graft survival (p=0.05). The actuarial graft and patient survival in the first year were 73.1 and 93% and at 5 years 55.4 and 83.9%, respectively. The graft pair’s survival at 1 and 5 years was 86.8 and 75.7%, respectively (p = 0.06).