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© 2020 Published by Elsevier Inc.The patient was a 41-year-old male who had previously been preserved on extended-hours hemodialysis for 297 months. Despite of lasting hemodialysis vintage, he had no vascular calcification and ectopic calcification. His kidney graft didn't encounter rejection or any other complications eighteen months after the cadaveric renal transplant. Past reports indicated that graft survival of extended-hours hemodialysis patients would not vary from main-stream hemodi