OBJECTIVES: Adult dual kidney transplant is a strategy to overcome the imbalance between limited nephron mass supplied from an older donor and a recipient with a metabolic request. MATERIALS AND METHODS: In our report, we review the literature and present our single-center experience. From June 2007 until July 2012, nine hundred twenty-eight single and seventeen dual kidney transplants from deceased donors were performed. RESULTS: The average donor was 71.5 ± 3.6 years of age with an average serum creatinine, creatinine clearance, and an average number of sclerotic glomeruli, 106.1 ± 44.2 μmol/L, 0.97 ± 0.37 mL/s, and 22.4 ± 14.2. Immediate graft function and acute rejection episodes were observed in 75% and 6% of patients. The overall patient survival rates at 1 and 2 years after transplant were 93%. The overall graft survival rates at 1 and 2 years were 88%. CONCLUSIONS: Previous studies and our single-center experience suggest that the dual transplant procedure may help improve results of kidney transplants from expanded criteria donors and extend the donor pool by using kidneys that would be discarded otherwise.

• MeSH
• Acute Disease MeSH
• Time Factors MeSH
• Tissue Donors supply & distribution   MeSH
• Kaplan-Meier Estimate MeSH
• Humans MeSH
• Delayed Graft Function etiology   mortality   MeSH
• Graft Survival MeSH
• Graft Rejection etiology   mortality   MeSH
• Retrospective Studies MeSH
• Risk Factors MeSH
• Aged MeSH
• Kidney Transplantation adverse effects   methods   mortality   MeSH
• Donor Selection * MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Review MeSH
• Geographicals
• Czech Republic MeSH

• MeSH
• Time Factors MeSH
• Tissue Donors MeSH
• HLA Antigens metabolism   MeSH
• Risk Assessment MeSH
• Glomerular Filtration Rate MeSH
• Middle Aged MeSH
• Humans MeSH
• Survival Rate MeSH
• Tissue and Organ Harvesting MeSH
• Delayed Graft Function mortality   MeSH
• Graft Survival * MeSH
• Registries MeSH
• Cold Ischemia * MeSH
• Kidney Transplantation * mortality   MeSH
• Organ Preservation MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Observational Study MeSH