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• W1996506721 abstract "Article1 September 1964Renal HomotransplantationLate Function and ComplicationsTHOMAS E. STARZL, PH.D., M.D., THOMAS L. MARCHIORO, M.D., K. A. PORTER, M.D., D.SC., C. A. MOORE, DAVID RIFKIND, PH.D., M.D., WILLIAM R. WADDELL, M.D.THOMAS E. STARZL, PH.D., M.D.Search for more papers by this author, THOMAS L. MARCHIORO, M.D.Search for more papers by this author, K. A. PORTER, M.D., D.SC.Search for more papers by this author, C. A. MOORESearch for more papers by this author, DAVID RIFKIND, PH.D., M.D.Search for more papers by this author, WILLIAM R. WADDELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-61-3-470 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn the earlier days of renal Homotransplantation, the most important cause of failure was prompt rejection of the homograft. Except for a few tantalizing exceptions, most of the patients treated by this means died during the first few weeks after operation either from return of renal failure or as the result of drug toxicity induced during efforts to prevent repudiation of the homograft. Such tragically unsuccessful cases of the pioneering era constituted the largest portion of the compilation of world experience made in September, 1963, by Murray (1) and the other participants at the National Academy of Sciences transplantation conference...References1. MURRAY JE: Human kidney transplant conference. Transplantation 2: 147, 1964. CrossrefGoogle Scholar2. STARZLMARCHIORORIFKINDHOLMESROWLANDSWADDELL TETLDJHDTWR: Factors in successful renal transplantation. Surgery 56: 296, 1964. MedlineGoogle Scholar3. STARZL TE: Transplantation of the Kidney, W. B. Saunders Co., Philadelphia 1965. Google Scholar4. HUMEMAGEEPROUTKAUFFMANCLEVELANDBOWERLEEKRAMER DMJHGRHMRHJDHMN: Studies of renal transplantation in men. Ann. NY Acad. Sci. In press. Google Scholar5. HAMBURGERCROSNIERDORMONT JJJ: Observations in patients with a well tolerated homotransplanted kidney: possibility of a new secondary disease. Ann. NY Acad. Sci. In press. Google Scholar6. HAMBURGERVAYSSECROSNIERANVENTDORMONT JJJJJ: Résultats de quatorze transplantations rénales chez l'homme. Bull. Soc. Méd. Hop. Paris 114: 225, 1963. MedlineGoogle Scholar7. MURRAYMERRILLHARRISONWILSONDAMMIN JEJPJHREGJ: Prolonged survival of human kidney homografts with immunosuppressive drug therapy. New Eng. J. Med. 268: 1315, 1963. CrossrefMedlineGoogle Scholar8. WOODRUFFROBSONNOLANLAMBIEKWILSONCLARK MFJSBTIJG: Homotransplantation of the kidney. Lancet 2: 675, 1963. CrossrefMedlineGoogle Scholar9. STARZLMARCHIOROWADDELL TETLWR: The reversal of rejection in human renal homografts with subsequent development of homograft tolerance. Surg. Gynec. Obstet. 117: 385, 1963. MedlineGoogle Scholar10. GOODWINKAUFMANMIMSTURNERGLASSOCKGOLDMANMAXWELL WEJJMMRDRRNM: Human renal transplantation. I. Clinical experience with 6 cases of renal homotransplantation. J. Urol. 89: 13, 1963. CrossrefMedlineGoogle Scholar11. KÜSSLEGRAINCAMEYDÉSARMENINEMATHÉNEDEYVOURC'H RMMJGRC: Homotransplantation rénale chez l'homme. Mem. Acad. Chir. (Paris) 87: 183, 1961. MedlineGoogle Scholar12. CALNEALEXANDREMURRAY RYGPJE: A Study of the effects of drugs in prolonging survival of homologous renal transplants in dogs. Ann. NY Acad. Sci. 99: 743, 1962. CrossrefMedlineGoogle Scholar13. SHACKMANDEMPSTERWRONG RWJOM: Kidney transplantation in the human. Brit. J. Urol. 35: 222, 1963. CrossrefMedlineGoogle Scholar14. HUMEMAGEEKAUFFMANRITTENBURYPROUT DHJHHMMSGR: Renal transplantation in man in modified recipients. Ann. Surg. 158: 608, 1963. CrossrefMedlineGoogle Scholar15. STARZLMARCHIOROTALMAGEWADDELL TETLDWWR: Splenectomy and thymectomy in human renal homotransplantation. Proc. Soc. Exp. Biol. Med. 113: 929, 1963. CrossrefMedlineGoogle Scholar16. WILSONWILSONMENDELSOHNCROW MCCLEANE; Improved excretory urograms by use of second injection of contrast medium. J. Urol. 87: 1010, 1962. CrossrefMedlineGoogle Scholar17. WINTER CC: Radioiostope renography. Williams & Wilkins Company, Baltimore, 1963. Google Scholar18. COLLINSPLZAAKTAMVACOPOULOSWILSON JJLFSKRE: Serial renograms after kidney transplantation in man. Surg. Forum 14: 217, 1963. MedlineGoogle Scholar19. MURRAYMERRILLDAMMINWILSONHAGER JEJPGJREEB: Kidney transplantation. Transplantation 2: 161, 1964. CrossrefGoogle Scholar20. PORTER KA: Pathological changes in transplanted kidneys, in Transplantation of the Kidney, by STARZL, T. E., W. B. Saunders Company, Philadelphia, 1965. Google Scholar21. PORTERMARCHIOROOWENPEARTSTARZL KATLKWSTE: Ureteric and pelvic lesions in human renal homotransplants. In preparation. Google Scholar22. PORTERTHOMSONOWENKENYONMOWBRAYPEART KAWBKJRJEWS: Obliterative vascular changes in 4 human kidney homotransplants. Brit. Med. J. 2: 639, 1963. CrossrefMedlineGoogle Scholar23. PORTERPEARTKENYONJOSEPHKOEHNCALNE KAWSJRNHRJRY: Rejection of kidney homotransplants. Ann. NY Acad Sci. In press. Google Scholar24. MCILVANIEMCCARTHY SKJD: Hepatitis in association with prolonged 6-mercaptopurine therapy. Blood 14: 80, 1959. CrossrefMedlineGoogle Scholar25. EINHORNDAVIDSOHN MI: Hepatotoxicity of mercaptopurine. JAMA 188: 802, 1964. CrossrefMedlineGoogle Scholar26. STARZLMARCHIORORIFKINDDICKINSONSTONINGTONWADDELL TETLDRTCOGWR: Technique of renal homotransplantation: experience with 42 cases. Arch. Surg. (Chicago) 89: 87, 1964. CrossrefMedlineGoogle Scholar27. RIFKINDMARCHIOROWADDELLSTARZL DTLWRTE: Infectious diseases associated with renal transplantation. II. Differential diagnosis and treatment. JAMA. In press. Google Scholar28. PIERCEVARCO JCRL: Effects of long term 6-mercaptopurine treatment upon kidney transplantation in dogs. Surgery 54: 124, 1963. MedlineGoogle Scholar29. MCGANEKNIGHTTOMKIEWICAALEXANDREMURRAY JDPRZMGPJE: Analysis of the mechanism of drug induced tolerance in canine renal homotransplants. Surg. Forum 14: 210, 1963. MedlineGoogle Scholar30. ZUKOSKICALLAWAY CFJM: Adult tolerance induced by 6-methyl mercaptopurine to canine renal homografts. Nature 198: 706, 1963. CrossrefMedlineGoogle Scholar31. WOODRUFF MF: Postpartum induction of tolerance to homologous skin in rats. Ann. NY Acad. Sci. 64: 792, 1957. CrossrefMedlineGoogle Scholar32. MERRILLMURRAYHARRISONFRIEDMANDEALYDAMMIN JPJEJHEAJBGJ: Successful homotransplantation of the kidney between non-identical twins. New Eng. J. Med. 262: 1251, 1960. CrossrefGoogle Scholar33. MURRAY JE: Personal communication. April 30, 1964. Google Scholar34. GOODWINMARTIN WEDC: Transplantation of the kidney, Spring 1963. Urol. Survey 13: 229, 1964. Google Scholar35. ANTOINE B: Renal transplantation. Transplantation 2: 156, 1964. CrossrefGoogle Scholar36. SHACKMAN R: Renal transplantation. Transplantation 2: 160, 1964. Google Scholar37. HAMBURGER J: Personal communication. May 10, 1964. Google Scholar38. DEMPSTER WJ: Personal communication. May 8, 1964. Google Scholar39. KÜSSLEGRAINMATHÉNEDEYCAMEY RMGRM: Homotransplantation rénale chez l'homme hors de tout lien de parenté. Survie juqu'au dix-septième mois. Rev. Franc Étud. Clin. Biol. 7: 1048, 1962. MedlineGoogle Scholar40. WOODRUFFROBSON MFJS: Personal communication. May 11, 1964. Google Scholar41. DEMPSTERHARRISONSHACKMAN WJJR: In press. Google Scholar42. MURRAYMERRILLHARRISON JEJPJH: Kidney transplantation between 7 pairs of identical twins. Ann. Surg. 148: 343, 1958. CrossrefMedlineGoogle Scholar43. KRIEGBOLANDEHOLDENHUBAYPERSKY AFRPWDCAL: Membranous glomerulonephritis occurring in a human renal homograft. Amer. J. Clin. Path. 2: 155, 1960. CrossrefGoogle Scholar44. GITHENS JA: Unpublished observation. Google Scholar45. KÜSSLEGRAINMATHé RMG: Renal transplantation. Transplantation 2: 159, 1964. Google Scholar46. RIFKINDSTARZLMARCHIOROWADDELLROWLANDSHILL DTETLWRDTRB: Transplantation pneumonia. JAMA. In press. Google Scholar47. HUME DM: Personal communication. April 2, 1964. Google Scholar48. KOLFF WJ: Personal communication. June 1, 1964. Google Scholar49. MILLER JF: Immunological significance of the thymus of the adult mouse. Nature (London) 195: 1318, 1962. CrossrefGoogle Scholar50. MILLER JF: Immunity and the thymus. Lancet 2: 43, 1963. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Denver, ColoradoFrom the Departments of Surgery and Medicine, University of Colorado School of Medicine, and the Denver Veterans Administration Hospital, Denver, Colorado.This work was aided by grants A-6283, A 6344, HE 07735, AM 07772, AI 04152, and OG 27 from the United States Public Health Service.Dr. Starzl is a Markle Scholar. Dr. Porter is a Reader in Pathology, St. Mary's Hospital and Medical School, London, England.Requests for reprints should be addressed to Thomas E. Starzl, M.D., Professor of Surgery, University of Colorado Medical Center, 4200 East Ninth Street, Denver, Colorado 80220. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAcute pancreatitis in a kidney transplant recipient and proposal of a step-wise diagnostic algorithm - A case reportReview of the Early Diagnoses and Assessment of Rejection in Vascularized Composite AllotransplantationRecurrent pancreatitis after renal transplantation in a childAcute Pancreatitis after Kidney TransplantationOsteonecrosis and Organ TransplantationDisorders of bone and mineral metabolism after renal transplantationAvascular necrosis of bone after renal transplantationOsteonecrosis: Current perspectives on pathogenesis and treatmentArteriolosclerosis of the human renal allograft: morphology, origin, life history and relationship to cyclosporine therapyAseptische Knochennekrosen bei Nierentransplantierten unter KortikosteroidlangzeittherapieTotal hip arthroplasty after renal transplantationOsteonecrosis after renal transplantationAseptic Necrosis of the Femoral Head Following Renal TransplantationRenal Tubular and Metabolic Dysfunction Following Kidney HomotransplantationGelenkeAzathioprine and the liverAvascular necrosis of bone complicating corticosteroid replacement therapy.Consequences of avascular necrosis of the femoral head in aluminium-related renal osteodystrophy and the role of endochondral ossification in the repair process.Skeletal Complications in the Renal Transplant Recipient: A Clinical StudyIndikation zur NierentransplantationImmunsuppressionAntineoplastic agents and the liverIncidence of late ureteral obstruction after antireflux surgery in infants and childrenTHE IMMUNOLOGICAL POTENTIAL OF HUMAN LYMPH NODES IN UREMIA AND DURING EXTRACORPOREAL IRRADIATION OF THE BLOODMassive azathioprine overdose5-Fluorocytosine in the Treatment of Experimental Candidiasis in Immunosuppressed MiceVariations in Arterial Blood Pressure after Kidney TransplantationDental Management of the Patient Treated by Renal Transplantation: Preoperative and Postoperative ConsiderationsThe effects of azathioprine on experimentally induced immune complex renal disease in rabbitsImmunosuppressive Therapy in Renal TransplantationLate Obstruction after UreteroneocystostomyMultiple Antibody Response Following Busulfan TherapyRenal TransplantationRenal Allograft Rejection in Man: A Study of 35 Transplantations from Living Donors110. Beobachtungen bei Rejektion von NierentransplantatenIntrahepatic Cholestasis Due to AzathioprineA Comparison of Uretero- Ureteric and Ureterovesical Anastomosis in Renal TransplantationThe Ureter in Renal TransplantationBeobachtungen bei Rejektion von NierentransplantatenThe Clinical Significance of Cytomegalovirus Infection in Renal Transplant RecipientsDAVID RIFKIND, PH.D., M.D., NEAL GOODMAN, M.D., ROLLA B. HILL JR., M.D.Some Urological Aspects of 93 Consecutive Renal Homotransplants in Modified RecipientsChemical Suppression of Adaptive ImmunityRadiorenography in Clinical TransplantationTISSUE-SPECIFIC ANTIGENS AND ISOANTIGENS*A theoretical approach to the study of genetic parameters of histocompatibility in manAzathioprine therapy of ?autoimmune? diseasesThe Role of Organ Transplantation in PediatricsEXPERIENCES WITH CADAVERIC RENAL TRANSPLANTATION WITH A REPORT OF 11 PATIENTSUrinary Solute Excretion as an Index of Renal Homograft RejectionDAVID A. OGDEN, M.D., JOSEPH H. HOLMES, M.D., F.A.C.P.RENAL FUNCTION AND PHOSPHORUS EXCRETION AFTER HUMAN RENAL HOMOTRANSPLANTATIONPATHOLOGICAL CHANGES IN 37 HUMAN RENAL HOMOTRANSPLANTS TREATED WITH IMMUNOSUPPRESSIVE DRUGSEXPERIENCE WITH 45 RENAL HOMOTRANSPLANTATIONS IN MANPROLONGED SURVIVAL OF SKIN-GRAFTS FROM CANCER PATIENTS ON NORMAL RECIPIENTSSTRONG TRANSPLANTATION ANTIGENS IN MANImmunosuppression and Infection 1 September 1964Volume 61, Issue 3Page: 470-497KeywordsHomograftsHomotransplantationHospital medicineHypertensionMedical servicesNecrosisRenal failureSteroid therapySurgeryTransplantation Issue Published: 1 September 1964 PDF DownloadLoading ..." @default.
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