Kidney Transplantation

 
 

Kidney 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?
  • 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?
  • Donor Kidney With Multiple Renal Arteries Could the donor's anomaly be the reason for renal failure in this kidney transplant recipient?
  • 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?
  • 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?
  • Recurrent UTI In Diabetic Kidney Transplant Recipient What is the appropriate management of recurrent urinary tract infection in a diabetic kidney transplant patient who is more than 3 years posttransplantation?
  • Timing of Sirolimus Initiation Given the reported increased risk of wound-healing problems, especially lymphocele development associated with SRL treatment, when is it "safe" to start SRL after transplantation?
  • Patient Retransplanted for Recurrence of FSGS What treatment regimen would you consider in a patient undergoing a second renal transplant with history of previous transplant failure due to recurrence of focal segmental glomerulosclerosis (FSGS)?
  • Renal Transplant Candidate With SLE, Intermittent Claudication What is the recommendation for renal transplantation in a 36-year-old female patient with SLE who is a heavy smoker and has intermittent claudication of a few meters?
  • Tacrolimus Dosing in a Kidney Transplant Recipient Can tacrolimus be given in a single dose instead of 2 divided doses?
  • Native Kidney Cancer in a Kidney Transplant Recipient How should a patient with native kidney cancer stage pT2 discovered 3 years after kidney transplantation be managed?