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Articles |

A Rapid Metabolic Screening Test to Evaluate Potential Cadaveric Kidney Donors

Robert B. Smith, MD; Paul I. Terasaki, PhD; Donald C. Martin, MD
JAMA. 1967;201(3):160-164. doi:10.1001/jama.1967.03130030030007.
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A tetrazolium dye reduction test has been evaluated for use in assessing the suitability of cadaver kidneys for transplantation. The time required for a color change of a small cortical slice was measured. Nine human cadaveric kidney transplants were tested and the results generally paralleled the severity of the acute tubular necrosis present. In a simulated cadaver experiment with canine kidneys subjected to varying periods of ischemia, the tetrazolium test could identify kidneys which would not recover function. Its greatest potential value appears to be in the utilization of kidneys previously thought unsuitable. A favorable test result in a donor kidney which was subjected to 48 hours of severe shock and 36 hours of total anuria which was unresponsive to mannitol, resulted in a successful transplantation to a recipient who otherwise might have been denied a kidney.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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