Successful Human Kidney Preservation by Intracellular Electrolyte Flush Followed by Cold Storage for More Than 48 Hours

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Abstract
Transplantation of cadaver kidneys after flushing with an ice-cold intracellular electrolyte solution is inhibited by arbitrary time limits on cold ischemia. During the 25 mo. interval ending March 22, 1982, 7 kidneys preserved by this method and cold-stored for 48.2-61.4 h were transplanted. Of the recipients, 86% required dialysis within 1 wk after transplantation, the mean serum creatinine nadir within 1 mo. was 2.1 mg/gl and the graft survival at 1 mo. was 71%. The 1 yr actuaral cadaver graft survival was 69.2 .+-. 18.1%. Kidneys preserved by this simple method can be transplanted successfully after 48 h of simple cold storage.