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Saudi Journal of Kidney Diseases and Transplantation
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Table of Contents   
SCOT DATA  
Year : 2013  |  Volume : 24  |  Issue : 6  |  Page : 1298-1308
Organ transplantation in Saudi Arabia- 2012



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Date of Web Publication13-Nov-2013
 

How to cite this article:
. Organ transplantation in Saudi Arabia- 2012. Saudi J Kidney Dis Transpl 2013;24:1298-308

How to cite this URL:
. Organ transplantation in Saudi Arabia- 2012. Saudi J Kidney Dis Transpl [serial online] 2013 [cited 2019 Sep 20];24:1298-308. Available from: http://www.sjkdt.org/text.asp?2013/24/6/1298/121278
By the end of year 2012, a total of 5358 living donor and 2467 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 624 kidneys have been transplanted during the year 2012, of which 506 were from living donors and 118 from deceased donors. Among the 118 deceased kidneys, 13 were used for pediatric recipients and 7 were given for the urgent condition recipients.

Liver transplantation program in the Kingdom was started in 1990. Up to the end of 2012, a total of 1240 liver transplants have been performed. This included 569 liver transplants from living donors and 671 form deceased donors. The pediatric liver transplant operations are mainly done 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, 96 livers were transplanted from living donors and 50 from deceased donors.

During the period (1986- 2012), there were 228 whole heart transplantations done inside the Kingdom, in addition to 564 hearts used were as source of valves. In this year, a total 22 whole hearts and 23 hearts as sources for valves have been transplanted.

Although more than 24,000 corneal transplants performed in the Kingdom during the period 1983-2012, the number of transplants from locally harvested corneas is dismally low (663 corneas).

A total of 19 pancreases were transplanted since the inception of the program in 1990.

Lung transplantation activity (started in 1990), has a total of 94 lungs transplanted to 61 recipients as single or bilateral.

Bone transplantation program, which started in 2009, has promising results. In this year, 17 bones were harvested in addition to 8 musculoskeletal tissues.

Regarding organ sharing program with Kuwait, Spain, Qatar and the Kingdom of Bahrain, SCOT has benefited from a total of 53 kidneys, 94 livers, 8 whole hearts, 47 hearts for valves and 13 lungs since the inception of the program with these countries.


   Renal Transplantation - 2012 Top


In this year, a total 624 kidneys were being transplanted inside the Kingdom of Saudi Arabia, 506 from living donors and 118 from deceased donors. The following table shows the performance of the national transplant centers during the year 2012.





  • Ten kidneys were harvested but not transplanted this year for the following reasons.
    • 3 kidneys due to vascular atheroma
    • 1 kidney due to multi-cyst
    • 1 kidney due to solid organ injury
    • 2 kidney due to biopsy report
    • 1 kidney due to technical reason
    • 2 kidneys due to congenital abnormality
  • Cold Ischemic Time (CIT) for locally harvested deceased kidneys was ranging between 1 and 36 hours with an average of 11.38 hours. CIT was <12 hours for 77 kidneys (65%), between (13-24) hours for 35 kidneys (30%) and between (25-36) hours for only 6 kidneys (5%).
  • Matching sex (male to male or female to female) kidney transplantation from deceased donors was done in 58% of the cases
  • Age distribution of recipients and donors of the deceased kidneys is indicated in the following table.


According to the data of renal failure patients in the Kingdom, 197 patients underwent living renal transplant operations outside the kingdom during the year 2012.


   Liver Transplant - 2012 Top


A total of 92 brain death cases were consented this year for liver donation. Harvesting was taken place in 59 cases, however only 50 livers were transplanted; 25 at King Faisal Specialist Hospital-Riyadh (2 cases transplanted as split liver), 16 at King Abdul-Aziz Medical City -Riyadh and 9 at King Fahd Specialist Hospital- Dammam. Livers were not used in 44 cases for following reasons:

  1. Liver was consented but not harvested in (24) cases:
    • Elevated liver enzymes (6 cases)
    • Hemodynamic instability of the donor (6 cases)
    • No suitable recipient (1 case)
    • Sudden cardiac arrest (4 cases)
    • Technical problems including medevac, weather condition and more time needed before harvesting (3 cases)
    • Unfit due to infection (4 cases)
  2. Livers were rejected by transplant centers during harvesting, in 9 case due to:
    • Fatty liver (5 cases)
    • Liver fibrosis (2 cases)
    • Liver necrosis (2 cases
  3. Liver was rejected by transplant centers after harvesting in (11) cases:
    • Elevated liver enzymes (1 case)
    • Fatty liver (2 cases)
    • Liver fibrosis (4 cases)
    • Neoplasm (2 cases)
    • Sepsis (1 case)
    • Steatosis (1 case)


Liver Transplant from Living Donors - 2012

Ninety six (96) cases of liver transplantation were done from living donors this year, 76 at King Faisal Specialist Hospital-Riyadh, 10 at Prince Sultan Military Medical City-Riyadh, 9 at King Abdul Aziz Medical City (NGH)-Riyadh, and one at King Fahd Specialist Hospital-Dammam. Details are shown in the tables below:








   Heart Transplantation - 2012 Top


A total of seventy four (74) consents were obtained for heart donation this year (79.6% of total consented cases). Twenty two (22) whole hearts were harvested and transplanted, 19 at King Faisal Specialist Hospital-Riyadh, and 3 at Prince Sultan Military Medical City- Riyadh. In addition, twenty four (24) hearts were harvested to be used as sources for valves; all were given to King Faisal Specialist Hospital- Riyadh.

Thirty eight (28) hearts were consented for donation but not harvested for the following reasons:

  • Unfit donor due to medical reasons (sepsis, donor history, medical condition) (4) cases.
  • Technical reasons (transportation and logistics) (1) case.
  • No recipients (4) cases.
  • Not offered (limited time) (12) cases.
  • Bad echo result, low ejection fraction (3) cases.
  • Positive culture results (blood, sputum, etc) (1) case.
  • Unavailability of further diagnostic test (cardiac catheterization) (1) case.
  • Sudden cardiac arrest (2) cases.





   Lungs Transplantation - 2012 Top


Seventy one (71) consents were obtained this year for lung donation (76% of the total consents). Of which (12) cases were harvested and transplanted by King Faisal Specialist Hospital-Riyadh. It is worth mentioning that for the first time; a single lung donor was transplanted for two recipients.



Lungs were not harvested in (59) cases after obtaining consent due medical or technical reasons.



Total lungs transplanted = 94, Total lung transplant patient = 61


   Bone Transplantation - 2012 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 in the central region.

In the year 2012, six (6) consents were obtained for bone donation (6.5% of total consents), from which (17) types of bone were retrieved in addition to (8) musculoskeletal tissues.

The table below illustrates the number and type of bones harvested during the period (2009-2012).




   Cornea Transplantation - 2012 Top


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

In the year 2012, consent for corneal donation was obtained in 30 eligible deceased organ donors (32%) of total consented cases. Eight (8) cases were harvested while the remaining (22) were not retrieved for the following reasons: hepatitis B core antibody positive (4) cases, Positive results on cultures (6) cases, Eye trauma/bad cornea (3) cases. No report on hepatitis B core or culture results (3) cases, cornea not offered (6) cases.

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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