Given the current organ shortage, improving the quality/efficacy of harvested grafts from expanded criteria donors is essential to substantially increase the number of potential donors. Preclinical studies have shown that blocking the vascular mineralocorticoid receptor (MR) mitigates ischemia-reperfusion injury (I/R) and prevents renal dysfunction following acute kidney injury. Potassium canrenoate is an intravenous MR antagonist. Blocking the MR upstream from aortic cross clamping is likely the most effective strategy to limit I/R injury. Yet, brain-dead donors are prone to severe hemodynamic instability and polyuria. Consequently, this study seeks to assess the hemodynamic tolerance of the use of potassium canrenoate in this context, as a first step to a large-scale clinical trial testing the impact of this therapeutic intervention on the survival of kidney grafts.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Donor death (cardio circulatory arrest)
Timeframe: from the randomization until the organ removal, up to 24 hours
Inability to perform kidney harvest
Timeframe: Up to 24 hours, in the organ removal during surgery
The average hourly dose of norepinephrine or epinephrine
Timeframe: From the randomization until the departure to the operating room, up to 24 hours
The average hourly volume of crystalloids and / or colloids
Timeframe: from the randomization until the departure to the operating room, up to 24 hours