Multimodal Ultrasound in DBD Kidneys for Predicting Early Postoperative Renal Insufficiency Risk

Inclusion Criteria

• •Recipient Study Participants Age ≥18 years;
• •Underwent allogeneic kidney transplantation at this hospital;
• •Signed informed consent form.
• •Donor Study Participants Brain-deceased organ donors;
• •Completed organ donation at the First Affiliated Hospital of Shandong First Medical University (Qianfoshan Hospital of Shandong Province);
• •Brain death criteria:
• •Deep coma (with clear etiology and exclusion of reversible causes);
• •Absence of brainstem reflexes;
• •No spontaneous respiration;
• •Confirmed by at least two confirmatory tests (SLSEP, EEG, TCD), with re-evaluation 12 hours after the initial determination.
• •Standard Criteria Donor (SCD):
• •Age 10-39 years;
• •* Cause of death unrelated to cerebrovascular disease;
• •* Serum creatinine \<133 μmol/L;
• •* No history of hypertension.
• •Expanded Criteria Donor (ECD):
• •Age \>60 years; OR
• •② Age 50-59 years with two of the following three criteria:
• •Cause of death related to cerebrovascular disease;
• •* Serum creatinine \<133 μmol/L;
• •* History of hypertension.
• •Signed informed consent form.