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Saudi Journal of Kidney Diseases and Transplantation
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SCOT DATA  
Year : 2014  |  Volume : 25  |  Issue : 6  |  Page : 1359-1368
Organ transplantation in Saudi Arabia - 2013



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Date of Web Publication10-Nov-2014
 

How to cite this article:
. Organ transplantation in Saudi Arabia - 2013. Saudi J Kidney Dis Transpl 2014;25:1359-68

How to cite this URL:
. Organ transplantation in Saudi Arabia - 2013. Saudi J Kidney Dis Transpl [serial online] 2014 [cited 2017 Jun 28];25:1359-68. Available from: http://www.sjkdt.org/text.asp?2014/25/6/1359/144329
By the end of year 2013, a total of 5820 living donor and 2563 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 558 kidneys have been transplanted during the year 2013, of which 462 were from living donors and 96 from deceased donors. Among the 96 deceased kidneys, 14 were used for pediatric recipients and 8 were given for the urgent condition recipients.

Liver transplantation program in the Kingdom was started in 1990. By the end of 2013, a total of 1398 liver transplants were performed. This included 678 liver transplants from living donors and 720 form deceased donors. The pediatric liver transplant operations are used to be 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 109 livers were transplanted from living donors and 49 from deceased donors.

During the period (1986-2013), there were 249 whole heart transplantations done inside the Kingdom, in addition to 583 hearts used as source of valves. In this year, 21 have been transplanted besides 19 hearts that were used as sources for valves.

Although more than 24,000 corneal transplants performed in the Kingdom during the period 1983-2013, the number of transplants from locally harvested corneas is dismally low (679 corneas).

A total of 25 pancreases were transplanted in the Kingdom since the inception of the program in 1990.

Lung transplantation activity (started in 1990), has a total of 125 lungs transplanted to 78 recipients as single or bilateral.

Bone transplantation program, which started in 2009, has promising results. In this year, 20 bones were harvested in addition to 17 musculoskeletal tissues.

Since the inception of the organ sharing program with Kuwait, Spain, Qatar and the Kingdom of Bahrain, SCOT has benefited from a total of 55 kidneys, 100 livers, 10 whole hearts, 47 hearts for valves, 18 lungs, 4 corneas and one pancreas.

Renal Transplantation - 2013

In this year, a total 558 kidneys have been transplanted inside the Kingdom of Saudi Arabia, 462 from living donors and 96 from deceased donors. The following table shows the performance of the national transplant centers during the year 2013.



  • Sixteen kidneys were recovered but not transplanted for the following reasons.
    • 6 due to chronic kidney disease (3 Glumerulosclerosis and 3 Hypertensive changes and damage)
    • 1 due to multiple renal stones
    • 3 traumatic renal injury (2 renal hematoma and 1 decapsulated and scarred kidney)
    • 1 due to congenital and vascular abnormalities
    • 1 Sepsis (renal abscess)
    • 3 fibrotic/sclerotic
    • 1 vascular thrombosis
  • Cold Ischemia Time (CIT) for locally recovered deceased kidneys was ranging between 2 and 31¼ hours with an average of 12 hours. In 65% of the cases, the deceased kidney transplantation was done with CIT of 12 hours, in 31% with CIT between (13-24) hours, only 4% with CIT between 26-36 hours.
  • Matching sex (male to male or female to female) kidney transplantation from deceased donors was done in 59 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; 202 patients underwent living renal transplant operations outside the kingdom during the year 2012.

Liver Transplant - 2013

The number of possible deceased cases consented for liver donation this year was 77. Organ retrieval took place in 48 cases and 49 liver transplantation operations were done; 30 at King Faisal Specialist Hospital-Riyadh (4 cases transplanted as split liver), 14 at King Abdul-Aziz Medical City & NGH-Riyadh and 5 at King Fahd Specialist Hospital-Dammam.

Livers were not used in (29) cases for the following reasons:

  1. Livers were not recovered after getting consent in (26) cases for following reasons:
    • Liver was not medically fit for transplantation (due to fatty changes, infectious disease, hepatitis (B, C) change...etc.) in (13) cases
    • No suitable or compatible recipient (HCV+ve donor) (2) cases
    • Unstable donor (only kidney retrieved) (5) cases
    • Sudden cardiac arrest (4) cases
    • Technical reasons (2) cases:
      • Transplant center needed more time for reassessment
      • No 2 nd team available for liver retrieval
  2. Liver was rejected by transplant centers after harvesting in (3) cases:
    • Chronic hepatitis (2) cases
    • Fatty liver (1) case


Liver Transplant from Living Donors - 2013

One hundred and nine (109) cases of liver transplantation were done from living donors this year, 86 at King Faisal Specialist Hospital-Riyadh, 11 at King Abdul Aziz Medical City (NGH)-Riyadh, 7 at Prince Sultan Military Medical City-Riyadh, and 5 at King Fahd Specialist Hospital-Dammam

Heart Transplantation - 2013

A total of sixty five (65) consents were obtained for heart donation this year (84% of total consented cases). Twenty one (21) whole hearts were recovered and transplanted, 15 at King Faisal Specialist Hospital-Riyadh, and 6 at Prince Sultan Military Medical City-Riyadh. In addition, nineteen (19) hearts were recovered to be used as sources for valves; all were given to King Faisal Specialist Hospital-Riyadh.

Twenty five (25) hearts were consented for donation but not harvested for the following reasons:

  • Unfit donor due to medical reasons (sepsis, donor history, medical condition) (11 cases).
  • Unstable donor, only kidney was retrieved (4 cases)
  • No ABO compatible recipient (6 cases).
  • Sudden cardiac arrest (4 cases).




Lungs Transplantation - 2013

A total of sixty six (66) consents were obtained this year for lung donation (86% of the total consents). Eighteen (18) cases were recovered and 17 of them were transplanted at King Faisal Specialist Hospital-Riyadh (3 cases transplanted as single lung while the remaining 14 as double lung transplantation).



Forty eight (48) lungs were not recovered after obtaining consent for the following reasons.

  • Unfit (20 cases)
  • No ABO compatible recipient (10 cases)
  • Technical reasons (10 cases):
    • No surgeon to retrieve lung (7 cases)
    • Recipient refused transplantation (1 case)
    • Unstable to perform bronchoscopy (1 case)
    • KOP refused to wait for KSA team (1 case)
  • Sudden cardiac arrest (4 cases)
  • Donor unstable, only kidney recovered (2 cases)
  • No HCV+ compatible recipient (1 case)
  • Donor-recipient weight disproportion (1 case)




Total lungs transplanted =125, Total lung transplant patient = 78

Pancreas Transplantation - 2013

There were sixty five (65) consents were obtained this year for pancreas domination (84% of the total consented cases for donation). Five (5) cases were recovered by King Fahd Specialist Hospital-Dammam (3 transplanted as combined kidney-pancreas) and one by King Faisal Specialist Hospital-Riyadh.

Fifty two (52) cases were consented for pancreas donation but not harvested for the following reasons:

  • Unfit (39 cases)
  • Technical reasons (6 cases)
  • Sudden cardiac arrest (2 cases)
  • Donor unstable, only kidney was retrieved (2 cases)
  • No suitable available recipient (3 cases)


It was worth mentioning that the first pancreas transplant operation in the Kingdom was done in 1990, followed by two (2) combined kidney-pancreas operations in 1991. Another combined kidney-pancreas operation was also done in 1992 at Al-Shati Hospital in collaboration with King Abdul-Aziz Hospital-Jeddah.

Bone Transplantation - 2013

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 this year twelve (12) consents were obtained for bone donation (16% of total consents), from which (20) bones were retrieved in addition to (17) musculoskeletal tissues.

The table below illustrates the number and type of bones retrieved at King Faisal Specialist Hospital-Riyadh during the period (2009- 2013).



Cornea Transplantation - 2013

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

Consent for corneal donation was obtained in 43 eligible deceased organ donors (56%) of total consented cases. Eight (8) cases were retrieved while the remaining (26) were not retrieved for the following reasons:

  • Unfit (20 cases)
  • Technical reasons:
    • No culture report available (1 case)
    • No HBc Ab result available (1 case)
    • No available coordinator (1 case)
  • Sudden cardiac arrest (2 cases)
  • Donor unstable, only kidney was retrieved (1 case)


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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