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Saudi Journal of Kidney Diseases and Transplantation
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Table of Contents   
SCOT DATA  
Year : 2012  |  Volume : 23  |  Issue : 6  |  Page : 1331-1338
Organ transplantation in Saudi Arabia



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Date of Web Publication17-Nov-2012
 

How to cite this article:
. Organ transplantation in Saudi Arabia. Saudi J Kidney Dis Transpl 2012;23:1331-8

How to cite this URL:
. Organ transplantation in Saudi Arabia. Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2020 Aug 3];23:1331-8. Available from: http://www.sjkdt.org/text.asp?2012/23/6/1331/103590
By the end of year 2011, a total of 4852 living donor and 2349 deceased donor renal transplantations have been performed inside the kingdom of Saudi Arabia. It is worth mentioning that the deceased organ transplantation program in the Kingdom received a big boost with the inception of the National Kidney Foundation in 1984 and further in 1993 when this organization was upgraded and renamed as Saudi Center for Organ Transplantation (SCOT).

A total of 553 kidneys have been transplanted during the year 2011, of which 431 were from living donors and 122 from deceased donors. Among the 122 deceased kidneys, 12 were used for pediatric recipients and 3 were given for the urgent condition recipients.

Liver transplantation program in the Kingdom was started in 1990. Up to the end of 2011, a total of 1094 liver transplants were performed. This includes 473 liver transplants from living donors and 621 from deceased donors. The pediatric liver transplants operations are mainly performed at Riyadh Armed Forces Hospital while the adult transplant operations are done at King Faisal specialist hospital-Riyadh, King Abdul Aziz Medical City (NGH) and King Fahd Specialist Hospital-Dammam. In this year, there were 115 liver transplants from living donors and 49 from deceased donors.

During the period (1986- 2011), there were 206 whole hearts and 540 hearts as source of valves transplantations done inside the Kingdom. In this year alone, 19 whole hearts and 23 hearts as sources for valves have been transplanted.

Although more than 20,000 corneal transplants have been performed in the Kingdom during the period 1983-2011, the number of transplants from locally harvested corneas is dismally low (647 corneas).

A total of 19 pancreases were transplanted since the inception of the program in 1990 including one transplant operation performed this year.

Lung transplantation activity (started in 1990), has a total of 72 lungs transplanted to 48 recipients as single or bilateral. In this year 21 lung transplant operations were done.

Bone transplantation program, which started in 2009, has promising results. This year 21 bones were harvested and 4 musculoskeletal tissues were retrieved.

As for organ sharing program with Kuwait, Spain, Qatar and the Kingdom of Bahrain, SCOT has benefited from a total of 50 kidneys, 84 livers, 8 whole hearts, 40 hearts for valves and 3 lungs since the inception of the program with these countries.


   Renal Transplantation - 2011 Top


In this year, a total 562 kidneys were being transplanted inside the Kingdom of Saudi Arabia, 431 from living donors and 122 from deceased donors. The following table shows the performance of the national transplant centers during the year 2011.





  • Five kidney were harvested but not transplanted this year for medical or reasons.
  • Cold Ischemic Time (CIT) for the locally harvested deceased kidneys was ranging between 2 hours to 37 hours. On the other hand, matching sex (male to male or female to female) renal transplantation from deceased donors was done in 59% of the cases.
  • Age distribution for recipients and donors of the deceased kidneys is indicated in the following table.


According to the data of renal failure patients in the Kingdom, 157 patients underwent living renal transplant operations outside the kingdom during this year.


   Liver Transplant - 2011 Top


A total 92 brain death cases were consented for liver donation this year. Harvesting was taken place in 59 cases, however only 49 livers were transplanted; 23 at King Faisal Specialist Hospital-Riyadh, 17 King Abdul-Aziz Medical City -Riyadh and 9 at King Fahd Specialist Hospital-Dammam. Livers were not used in 43 cases for following reasons:

  1. Liver was consented but not harvested in (31) cases:
    • Homodynamic instability of donor (10) cases
    • Elevated liver enzymes (6) cases
    • Unfit (6) case
    • Technical problems (Medivac, weather conditions, more time needed before harvesting) (4) cases
    • Sudden cardiac arrest of donor (3) cases
    • Unsuitable liver proved by biopsy (1) case
    • No suitable recipient (1) case
  2. Liver was rejected by transplant centers during harvesting, on macroscopic evaluation, in one case due to stenosis.
  3. Liver was rejected by transplant centers after harvesting in (11) cases:
    • Fatty livers (7) cases
    • High LFT and old age (1) case
    • Mild to moderate fibrosis , mild inflammation (1) case
    • Lung abscess-marginal liver (1) case
    • Portal fibrosis Cholangitis (1) case.


Liver Transplant from Living Donors - 2011

115 cases of liver transplantation were done from living donors this year, 89 at King Faisal Specialist Hospital-Riyadh, 14 at Riyadh Armed Forces Hospital, 11 at King Abdul Aziz Medical City (NGH)-Riyadh, and one at King Fahd Specialist Hospital-Dammam.


   Heart Transplantation - 2011 Top


A total of seventy eight (78) consents were obtained for heart donation this year (84% of total consented cases). Nineteen (19) Whole hearts were harvested and transplanted, 15 at King Faisal Specialist Hospital-Riyadh, and 4 at Riyadh Armed Forces Hospital. Beside that twenty three (23) hearts harvested to be used as sources for valves; all were given to King Faisal Specialist Hospital-Riyadh.

Thirty six (36) hearts were consented for donation but not harvested for the following reasons:

  • Unfit donor for medical reasons (sepsis, donor history, medical condition) (10) cases
  • Technical reasons (transportation and logistics) (1) case
  • HIV serology positive (1) case
  • No suitable recipients (6) cases,
  • Old age of donor (3) cases
  • Not offered hearts (time limitation) (15) cases.



   Lung Transplantation - 2011 Top


Twelve (12) lung transplantations were done this year at King Faisal Specialist Hospital & Research Center - Riyadh. Of which, three (3) lung transplantation were done as single lung and nine (9) as double lung transplantation. The following table shows the lung transplantation activity for the last years.




   Pancreas Transplantation - 2011 Top


One (1) harvested pancreas was successfully transplanted this year at King Faisal Specialist Hospital & Research Center-Riyadh.

It is also worth mentioning that the first pancreas operation in the Kingdom was done in 1990, followed by two combined pancreas-kidney operations in 1991. Another combined transplantation was also done in 1992 at Al-Shati Hospital in collaboration with King Abdul-Aziz Hospital -Jeddah.

The current active transplant centers in the Kingdom are: King Faisal Specialist Hospital & Research Center-Riyadh and King Fahd Specialist Hospital-Dammam.


   Bone Transplantation - 2011 Top


Bone donation from deceased donors started in the Kingdom in the year 2009 at King Faisal Specialist Hospital - Riyadh. At present, bone harvesting goes along with the multi-organ retrieval team from actual deceased donors from the central region.

In the year, (17) consents were obtained for bone donation (18% of total consented cases). 21 types of bones were retrieved in addition to 4 musculoskeletal tissues.

The table below illustrates the number and type of bone harvested during the period (2009- 2011).




   Cornea Transplantation - 2011 Top


Corneal donation program (as a tissue) is currently harvested along with multi- organ retrieval from actual deceased organ donors.

In the year 2011, consent for corneal donation was obtained in 34 eligible deceased organ donors (37%) of total consented cases. (15) Cases were harvested while the remaining (19) were not harvested for the following reasons: (10) cases due to hepatitis serology (HCV, HBsAg, HBcAb), (4) cases due to technical reasons, in (4) cases cornea not offered, and one case due to sudden cardiac arrest.

Organ Transplantation in the Kingdom of Saudi Arabia



Organ Transplantation in the Kingdom of Saudi Arabia



Organ Transplantation in the Kingdom of Saudi Arabia



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