Protective Effect of Heparin and Aspirin Against Vascular Thrombosis in Pediatric Kidney Transplants

Authors

  • Nasrin Esfandiar Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Author
  • Hasan Otukesh Department of Pediatrics, Ali Asghar Hospital, Tehran University of Medical Sciences, Tehran, Iran Author
  • Mostafa Sharifian Department of Pediatrics, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Author
  • Rozita Hoseini Department of Pediatrics, Shahid Labdafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Author

Abstract

Introduction. This study was conducted to evaluate preventive effect of a combination of heparin and aspirin on vascular thrombosis and kidney transplant outcomes of pediatric kidney transplant recipients.

Materials and Methods. Twenty-four pediatric kidney transplant recipients received heparin, 50 U/kg, every 8 hours for 7 postoperative days, and aspirin, 5 mg/kg, thrice a week from day 3 of transplantation for 3 months. These patients were compared with a matched group of pediatric kidney allograft recipients in terms of development of thrombosis and serum creatinine level at 1 year postoperation.

Results. The mean age of patients was 9.4 ± 3.2 years. No vascular thrombosis was developed among the 24 patients with anticoagulant therapy, while in the control group, 5 grafts (7.9%) developed thrombosis (P = .19). Serum creatinine levels at 1 year were lower in the children with anticoagulant therapy as compared with the controls (P = .02).

Conclusions. Our study revealed a reduction in kidney allograft thrombosis incidence in children who received heparin and aspirin after transplantation, which was clinically important although the difference was not statistically significant. Lower serum creatinine levels as compared with a historical cohort group were seen 1 year after transplant surgery. These findings are required to be confirmed by further studies.

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Published

2012-03-02

Issue

Section

ORIGINAL | Transplantation

How to Cite

Protective Effect of Heparin and Aspirin Against Vascular Thrombosis in Pediatric Kidney Transplants. (2012). Iranian Journal of Kidney Diseases, 6(2), 141-145. https://ijkd.org/index.php/ijkd/article/view/491

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