NYMC Faculty Publications
A Paired Kidney Analysis of Simultaneous Heart-Kidney Transplantation and Kidney Transplantation After Heart Transplantation
Author Type(s)
Faculty
DOI
10.1097/AS9.0000000000000582
Journal Title
Annals of Surgery Open
First Page
582
Last Page
582
Document Type
Article
Publication Date
6-13-2025
Department
Surgery
Second Department
Medicine
Keywords
outcomes; heart transplant; Kidney Transplant; simultaneous heart kidney transplant
Disciplines
Medicine and Health Sciences
Abstract
OBJECTIVE: To assess the outcomes of a pair of kidneys from a single donor used for simultaneous heart-kidney transplantation (SHKT) or kidney after heart transplantation (KAH).
BACKGROUND: An Increase in kidney dysfunction among heart transplant candidates has led to an increased need for SHKT and KAH. The risk of early kidney graft loss and mortality is higher in SHKT compared with kidney-alone recipients.
METHODS: Among adult kidney transplant recipients from Oct 2014 to Oct 2022, outcomes were compared between paired kidney-alone
RESULTS: A total of 1220 pairs of kidney-alone and SHKT recipients and 441 pairs of kidney-alone and KAH recipients were identified. Among the paired donor kidneys, graft survival was significantly lower in SHKT recipients compared with kidney-alone recipients at 1-year post-transplant (96.1%
CONCLUSIONS: Optimal recipient selection for kidney after heart transplant under the new safety-net policy may help mitigate the significant risk of kidney graft failure among SHKT recipients.
Recommended Citation
Okumura, K., Ohira, S., Misawa, R., Nishida, S., Lansman, S., & Dhand, A. (2025). A Paired Kidney Analysis of Simultaneous Heart-Kidney Transplantation and Kidney Transplantation After Heart Transplantation. Annals of Surgery Open, 6 (2), 582-582. https://doi.org/10.1097/AS9.0000000000000582
