Data concerning 100 consecutive renal transplantations in children wer
e analyzed to determine factors enhancing the risk of renal transplant
thrombosis. The incidence of renal transplant thrombosis was high, at
12%. It is concluded that in addition to young age and low body weigh
t of recipient and young age of the donor, also a high preoperative ur
ine production contributes to the occurrence of thrombosis. Children w
ith hypoplastic or dysplastic kidneys are at greater risk for thrombos
is. Considering the influence of high urine production of the native k
idneys, it may be possible to prevent thrombosis by albumin and ample
fluid administration. Copyright (C) 1995 by W.B. Saunders Company