{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:25:45Z","timestamp":1768551945541,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T00:00:00Z","timestamp":1560902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Simultaneous heart\u2010kidney transplant (HKTx) is a valid treatment for patients with coexisting heart and renal failure. The aim of this study was to assess renal outcome in HKTx and to identify predictive factors for renal loss. A retrospective study was conducted among 73 HKTx recipients: Donors\u2019 and recipients' records were reviewed to evaluate patients\u2019 and renal transplants\u2019 survival and their prognostic factors. The mean follow\u2010up was 5.36\u00a0years. Renal primary non\u2010function occurred in 2.7%, and complications Clavien IIIb or higher were observed in 67.1% including 16 (22%) postoperative deaths. Five\u2010year overall survival and renal survival were 74.5% and 69.4%. Among survivors, seven returned to dialysis during follow\u2010up. The postoperative use of ECMO (HR\u00a0=\u00a06.04, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.006), dialysis (HR\u00a0=\u00a01.04\/day, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.022), and occurrence of complications (HR\u00a0=\u00a031.79, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.022) were independent predictors of postoperative mortality but not the history of previous HTx or KTx nor renal function prior to transplantation. History of KTx (HR\u00a0=\u00a02.52, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.026) and increased delay between the two transplantations (HR\u00a0=\u00a01.25\/hour, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.018) were associated with renal transplant failure. HKTx provides good renal transplant survival and function, among survivors. Early mortality rate of 22% underlines the need to identify perioperative risk factors that would lead to more judicious and responsible allocation of a scarce resource.<\/jats:p>","DOI":"10.1111\/ctr.13615","type":"journal-article","created":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T15:23:57Z","timestamp":1559057037000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Renal outcome after simultaneous heart and kidney transplantation"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1579-9647","authenticated-orcid":false,"given":"Th\u00e9odore","family":"Toinet","sequence":"first","affiliation":[{"name":"Department of Urology and Transplant Surgery, H\u00f4pital Europ\u00e9en Georges\u2010Pompidou, AP\u2010HP Universit\u00e9 de Paris Paris 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