Renal transplant scintigraphy performed within 2 days after transplantation is useful in the prediction of long-term graft function at 3 months, 1 year, and 5 years; and it is superior to resistance index.
Purpose of the review: In this review, we summarize different allocation schemes around the world and identify ways to exchange organs between countries.
Recent findings:The primary goal of transplantation is prolongation of patient survival and an improved quality of life. Most allocation systems try to match the potential survival of the organ with the life expectancy of its recipient.Kidney transplantation enables cost reductions by the avoidance of dialysis for the health care system , which is sometimes the driving force for state interventions to enhance donor recruitment The major benefit from international exchange is the possibility to transplant highly sensitized patients or patients with rare HLA allele.In a broad international exchange system, there are three possibilities: exchange of surplus organs, exchange of organs to support patients with a potentially excessive waiting time due to HLA antibodies or rare alleles, and exchange of organs to make the best possible match between donor and recipient.Summary: It is possible to shape a hierarchical allocation scheme, which could be applicable in the majority of populations despite different geographical and socio-economic conditions: 1. Allocation to recipients with special requirements (High-Urgency, highly sensitized), 2. Identification of a within the region/country, 3. In case no suitable recipient can be identified, offer countrywide or between countries, 4. For every organ transferred to another country, there must be an obligation to give one back.
The question is, "Which index is the best indicator?" This study demonstrated that the parameters of ΔP, plateau, arterial peak, perfusion peak, and uptake at 3 minutes of RTS could be assessed together by the formula of GI, which provides more accurate information to identify DGF and predict 1-year graft function.
Highlight
We present a case with severe Leptospirosis who developed Acute Motor and Sensory Axonal Neuropathy (AMSAN) variant of Guillain-Barre syndrome (GBS). Our patient was successfully treated with antibiotics and total plasma Exchange. This is the first case in the literatüre that developed the AMSAN variant of GBS following Leptospirosis.
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