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Background and Aims Cardiovascular diseases (CVD) are the most frequent cause of death in dialysed patients. Patients in the risk group of CVD examined prior to kidney transplantation (KTx) are indicated for coronarography (SCG). The aim of our analysis was to identify risk factors (RF) for positive finding of patients undergoing SCG before KTx. Method Our analysis consisted of 55 dialysed patients (46 males, 9 females, P Results Patients without percutaneous coronary intervention (PCI) (negative finding) we confirmed significantly lower incidence of diabetic nephropathy (P=0.0484) IHD (P=0.0174) and coronary artery disease (P=0.0001). We confirmed, haemodynamically significant coronary stenosis correlate with the occurrence of stroke or transient ischemic attack in patient’s history (P=0.0104). Consequently, we identified predictors for realization PCI (positive result): type 2 DM [OR 2,3492 (P=0.0472)], HDL ≤ 1,03 mmol/l [OR 4.3276 (P=0.0359)], total calcium level ≤ 2mmol/l [OR 2.4935 (P=0.0309)], phosphate level ≥ 1.45 mmol/l [OR 0.2034 (P=0.0351)]. In our analysis, patients non-listed on WL had significantly higher incidence of type 2 DM (P=0.0087), smoking (P=0.0079) and were treated more often with statins (P=0.0025). Conclusion In our analysis, patients with DM and poorly managed chronic kidney disease - mineral bone disease are the most at risk group in the group of patients with CVD with positive SCG finding. Patients with high cardiovascular risk, without DM or other RF can profit from non-invasive imaging methods following faster listing on WL.

Background and Aims Kidneys from expanded criteria donors with diagnosis of brain death have become a part of the organ transplant program, which have thus increased the number of transplants. Method In this retrospective analysis, we identified the expanded criteria donors in a group of 156 kidney donors at our center. Basic parameters of the donors before kidney recovery were collected. Graft function, graft survival, and patient survival at 1, 3, and 5 years posttransplant were compared in expanded criteria versus standard criteria donors. Results Expanded criteria donors were significantly older than standard criteria donors (P < .001), had higher body mass index (P = .006), and had more frequent arterial hypertension (P < .001) and diabetes mellitus (P = .004) in their histories. When we considered the estimated glomerular filtration rate, graft function in the first 6 months after transplant was significantly worse in kidneys from expanded criteria donors (P = .011). In addition, recipients of grafts from expanded criteria donors had significantly worse survival in the first year posttransplant (P = .023); however, no differences in graft survival were observed. Conclusion From the long-term aspect, graft function and graft and patient survival in cases of kidneys from expanded criteria donors were comparable to results with kidneys from standard criteria donors. Expanded use of organs available for transplant is important due to the constantly increasing demands versus limited offers of organs.