Ask the Experts

 
 
  • Antimicrobial Prophylaxis for Pancreas Transplantation What is current recommended practice for prophylactic antibacterial and antifungal prophylaxis in kidney-pancreas and pancreas alone transplantation?
  • Bilateral Native Nephrectomy The literature reports benefits of bilateral native nephrectomy for resistant hypertension and many report a high rate of success (around 80%), which is not the case in our experience.
  • Kidney Transplant Candidate With Liver Disease Is this patient with hepatitis-related histologic findings of liver disease a good candidate for kidney transplantation?
  • Antibody Titer Before Kidney Transplantation What are the options for lowering antibody titer prior to kidney transplantation?
  • Recalcitrant Vascular Rejection How would you treat a C4d-negative, donor-specific antibody-negative, "recalcitrant" vascular rejection in a 34-year-old white male kidney transplant recipient?
  • Pancreas Alone Transplantation In whom is pancreas alone transplantation indicated and when should it be performed?
  • Vascular Anastamosis in Renal Transplant Recipient What are the options for renal transplant vascular anastomosis in patient who underwent right nephrectomy and uretero-cystoplasty along with appendico-vesicostomy with stoma in the right iliac region?
  • Renal Transplantation Under Epidural Anesthesia? How frequently is renal transplantation done under epidural anesthesia and what are the advantages or disadvantages?
  • Need for Antireflux Surgery Before Kidney Transplantation Should antireflux surgery be done before kidney transplantation in a patient with neurogenic bladder and grade V left vesicoureteral reflux?
  • Kidney Transplant Recipient With DVT How long should anticoagulant therapy be given to a renal transplant recipient with deep venous thrombosis?
  • Treating Depression in a Renal Transplant Recipient Are there particular considerations in treating a renal transplant patient for depression?
  • Donor Kidney With Multiple Renal Arteries Could the donor's anomaly be the reason for renal failure in this kidney transplant recipient?
  • Pulmonary Hypertension in a Liver Transplant Recipient Is pulmonary hypertension in this patient related to the use of a calcineurin inhibitor or to undetected preoperative cardiac dysfunction?
  • Thrombosis After Pancreas Transplantation Because of the high risk of posttransplant pancreatic allograft thrombosis, are there guidelines for anticoagulation in pancreas transplant recipients?
  • Living-Related Kidney Transplant With Positive B-cell Crossmatch What is the best immunosuppressive protocol for a living-related kidney transplant with positive B-cell crossmatch (IgM type) and PRA 0%?
  • Differentiating Ischemia-Reperfusion Injury From Early Rejection In the era of flow cytometry and cytokine analysis, can one differentiate ischemia reperfusion injury from early acute rejection without performing renal biopsy?
  • Patient Who Stopped All Immunosuppression What is the optimal management approach for a patient who has stopped all immunosuppression and has ggod renal function?
  • Proteinuria a Contraindication for Renal Transplantation? Kidney donor (living-related) has mild asymptomatic proteinuria on routine urine analysis; otherwise, all other findings are normal. Is this considered a contraindication for renal transplantation?
  • Liver Transplantation in Patient With Suspected Hepatoma How would you estimate the risk of tumor recurrence in a liver transplant candidate with a ruptured hepatoma? Would you consider this patient a candidate for liver transplantation?
  • Induction Therapy Should I be concerned about this situation: positive B-cell crossmatch, IgM autoantibody negative, and PRA 0% in first-time, living-related kidney transplantation? What is the best induction therapy?