Home About us Current issue Back issues Submission Instructions Advertise Contact Login   

Search Article 
  
Advanced search 
 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 3109 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 
 

Table of Contents   
SCOT DATA  
Year : 2015  |  Volume : 26  |  Issue : 6  |  Page : 1314-1325
Organ Transplantation in Saudi Arabia - 2014



Click here for correspondence address and email

Date of Web Publication30-Oct-2015
 

How to cite this article:
. Organ Transplantation in Saudi Arabia - 2014. Saudi J Kidney Dis Transpl 2015;26:1314-25

How to cite this URL:
. Organ Transplantation in Saudi Arabia - 2014. Saudi J Kidney Dis Transpl [serial online] 2015 [cited 2020 Aug 3];26:1314-25. Available from: http://www.sjkdt.org/text.asp?2015/26/6/1314/169679
Organ Transplantation in Saudi Arabia - 2014

By the end of 2014, a total of 6316 living donor and 2694 deceased donor kidney transplantations have been performed inside the kingdom of Saudi Arabia. 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 645 kidneys were transplanted during this year wherein, 514 kidneys transplanted from living donors and 131 kidneys came from deceased donors. Among the 131 deceased kidneys, 23 were used for pediatric recipients and nine for urgent condition cases.

Liver transplantation program in the Kingdom was started in 1990 and by the end of 2014 a total of 1596 liver were transplanted. This included 738 livers from living related donors, 68 from living unrelated donors and 790 form deceased donors. Liver transplant operations are performed in four active centers; King Faisal Specialist Hospital-Riyadh, King Fahd Specialist Hospital-Dammam, King Abdulaziz Medical City and National Guard-Riyadh, and Prince Sultan Military Medical City- Riyadh. In this year 128 livers were transplanted from living donors and 70 from deceased donors. The first heart transplant operation in the Kingdom was performed in 1986 at Riyadh Military Hospital. During the period (1986-2014), a total of 280 whole heart transplantations were done inside the Kingdom, in addition to 602 hearts used as source of valves. In this year, 31 whole hearts were transplanted and 19 hearts were recovered to be used as source for valves.

Lung transplantation in the Kingdom was started in 1991 at King Fahd Hospital-Jeddah. And by the end of 2014, a total, 144 lungs were transplanted to 88 recipients as single or double lung transplantation. Nineteen lungs were transplanted this year for 10 recipients.

Pancreas transplantation was started at Al-Shaty Teaching Hospital-Jeddah. A total of 27 pancreas were transplanted since the inception of the program in 1990. In this year two pancreas transplantations were done at King Faisal Specialist Hospital-Riyadh.

Although more than 25,000 corneal transplantations were performed in the Kingdom during the period 1983-2014, the number of transplants from locally harvested corneas is still very low (692 corneas).

Bone transplantation program, started in 2009, has promising results. Until now a total of 255 bones were harvested in addition to 90 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 63 kidneys, 120 livers, 15 whole hearts, 54 hearts for valves, 22 lungs, four corneas and one pancreas.

Kidney Transplantation - 2014

A total of 645 kidneys were being transplanted inside the Kingdom in the year 2014, 514 from living donors and 131 from deceased donors.

Regarding kidneys from deceased donors, 110 cases were consented for kidney donation from which 185 kidneys were recovered, 131 were transplanted to 128 recipients including six as en- bloc, 46 were sent to be transplanted by transplant centers outside the Kingdom, and eight were discarded. The following table shows the performance of kidney transplant centers during the year 2014.



Out of the 131 deceased kidneys, 93 (71%) were transplanted from standard criteria donors (SCD) and the remaining 38 (29%) from expanded criteria donors (ECD).

Kidney Donor Risk Index (KDRI) for locally recovered deceased kidneys was ranging between

0.73 and 2.25 with a mean of 1.25. 22% of the cases has KDRI <1, 54% between 1.0-1.5, and 24% had KDRI above 1.5.

Cold Ischemia Time (CIT) for transplanted deceased kidneys was ranging from 2 hours to 31 hours and 30 minutes with mean CIT of 12 hours. In 52 % of cases kidneys were transplanted with CIT <12 hours, in 41% of the cases within 12-24 hrs, and in 7% of the cases within 24-36 hours.

Matching sex (male to male or female to female) was done in 46% of kidneys transplanted and matching blood group in 92% of the cases.

Age distribution for deceased kidney donors and recipients is shown in the table below.



Kidneys were not recovered from eligible donors after consent in 35 cases for reasons indicated in the table below:



Eight were discarded after recovery for the following reasons: Glumerulosclerosis (3) kidneys, Tuberculosis (2) kidneys, Pyelonephritis (1) kidney, black discoloration (1) kidneys, and traumatic kidney injury (1) kidney.

Living Kidney Transplantation - 2014

A total of 514 living donor kidney transplantations had been performed this year; 466 (91%) from living related donors and 48 (9%) from living unrelated donor. The total number of kidneys transplanted from living donors since 1988 is 6334 included 6054 kidneys from living related donors and 280 from living un-related donors.

Liver Transplantation - 2014

The number of possible deceased cases consented for liver donation this year was 110. Liver retrieval took place in 75 cases, 70 livers were transplanted (one was split for 2 recipients) and six livers were discarded.

Deceased liver transplant operations were distributed between King Faisal Specialist Hospital- Riyadh (27 operations), King Abdulaziz Medical City and National Guard-Riyadh (27 operations), and King Fahd Specialist Hospital-Dammam (16 operations).

Out of the 70 deceased livers transplanted, 61 (87%) were given to adult recipients and nine (13%) to pediatric recipient.

CIT for locally transplanted deceased livers was ranging from 1 hour 7 minutes to 13 hours 33 minutes, with average CIT of 6 hour s 46 minutes. In (49%) of the cases, livers were transplanted with CIT ≤6 hours, in (50%) livers were transplanted within 6-12 hours, while only one liver was transplanted with CIT >12 hours.

Matching sex for deceased liver transplantation between donor and recipient was done in 53% of the cases and matching blood group in 89% of the cases.

Livers were not recovered in 35 cases due to the reasons in the table below:



Livers were discarded by transplant centers after retrieval in six cases:

  • Hepatocyte necrosis and steatosis (four cases)
  • High liver enzymes and biopsy report (one case)
  • Liver infection (TB) (one case)


Liver from Living Donors - 2014

A total of 128 liver transplantations were performed this year from living doors; 124 (97%) were from living related donors and four (3%) were from living unrelated donors. Transplantation of liver from living donors was performed in four active centers indicated in the table below:



Heart Transplantation - 2014

A total of 107 consents were obtained for heart donation this year (97% of total consents), 31 whole hearts were recovered and transplanted; 26 at King Faisal Specialist Hospital-Riyadh, and five at Prince Sultan Cardiac Center-Riyadh. In addition, 19 hearts were also harvested to be used as a source for valves; all were given to King Faisal Specialist Hospital-Riyadh.

Twenty seven of the 31 whole hearts transplanted were utilized for adult recipients and four hearts were used for pediatric recipients.

Matching sex between donor and recipient for heart transplantation was done in 71% of the cases while matching blood group was done in 90% of the cases.

Fifty seven hearts were consented for donation but not recovered for the reasons in the table below:



Heart for valves recovery and utilization is shown in the table below:



Lung Transplantation - 2014

A total of 103 consents were obtained this year for lung donation (94% of total consents). Twenty two lungs were recovered from 11 donors to be utilized for lung transplantation. Nineteen lungs were transplanted for adult recipients. Eighteen as double to nine recipients and one as single to one recipient all at King Faisal Specialist Hospital-Riyadh while three lung was discarded. Matching sex was done in 60% of lung transplantations while matching blood group in 80% of the cases.



Lungs were not recovered from 92 donors after consent for reasons shown in the table below:



Three lungs were discarded after recovery: two lungs due to high ventilator settings with bilateral lung contusions and the third lung because recipient got a single lung transplantation.

Deceased Lung Transplantation Activity in the Kingdom



Total lungs transplanted: 144

Total lung transplant recipient: 88

Pancreas Transplantation - 2014

Eighty four eligible deceased donors were obtained this year for pancreas donation (76% of the total consents. Three pancreas were recovered; two were transplanted for two adult recipients by King Fahd Specialist Hospital-Riyadh and one fatty pancreas was discarded.

Eight one pancreas were consented for donation but not harvested for the reasons indicated in the table below:



It is worth mentioning that the first pancreas transplant operation 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-Shaty hospital in collaboration with King Abdul-Aziz Hospital-Jeddah.

Bone Transplantation - 2014

Bone donation from deceased donors started in the Kingdom by King Faisal Specialist Hospital- Riyadh in 2009. At present, bone recovery, in central region, goes along with the multi-organ recovery from deceased donors.

In this year 31 cases were consented for bone and musculoskeletal tissue donation wherein, 23 donors were harvested from which 126 bones and 58 musculoskeletal tissues were recovered. It is worth mentioning that a total of 226 bones had been recovered in addition to 90 musculoskeletal connective tissues for the purpose of bone allograft since the inception of bone donation program in the Kingdom.

Performance of deceased bone and MST recovery in 2014 is shown below:



Cornea Transplantation - 2014

Corneal tissue donation and transplantation program in the kingdom was established in 1983. Corneas were recovered along with multi-organ retrieval from deceased donors. In this year consent for corneal donation was obtained from 44 cases, 13 corneas were recovered from seven donors. Eleven by King Khalid Eye Specialist Hospital-Riyadh, and two by King Abdul-Aziz Specialist Hospital-Taif.

Corneas were not recovered after consent from 37 donors for the following reasons:



It is worth mentioning that King Khalid Eye Specialist Hospital-Riyadh, being the most active corneal transplant center in the Kingdom. It has 566 patients in the waiting list and performed 879 corneal transplantations harvested abroad, in addition to 701 corneas distributed to other eye care facilities in the Kingdom.

Organ Transplantation in the Kingdom of Saudi Arabia



Organ Transplantation in the Kingdom of Saudi Arabia



Organ Transplantation in the Kingdom of Saudi Arabia



Top
Correspondence Address:
Login to access the Email id


Rights and Permissions




 

Top
   
 
 
    Similar in PUBMED
    Email Alert *
    Add to My List *
* Registration required (free)  
 


 
 

 Article Access Statistics
    Viewed1013    
    Printed10    
    Emailed0    
    PDF Downloaded160    
    Comments [Add]    

Recommend this journal