Indications for Pretransplant Nephrectomy

Rosenberg, J. C.; Azcárate, J Morcillo; Fleischmann, L; McDonald, Franklin D.; Menendez, Moises; Pierce, James M.; Whang, C. W.

doi:10.1001/archsurg.1973.01350200097022

Cited by 28 publications

(9 citation statements)

References 23 publications

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“…Today we are in agreement with Aronian et al (5) and the majority o f authors (30,77,92), advocating preliminary pre-transplantation bilateral nephrectomy in due time and under the indications listed earlier. …”

Section: ------------------------------------------------------------supporting

confidence: 86%

Analysis of 330 Necro-Kidney-Allografts (Part 2 of 2)

1979

Eur Surg Res

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Section: ------------------------------------------------------------supporting

confidence: 86%

Analysis of 330 Necro-Kidney-Allografts (Part 2 of 2)

1979

Eur Surg Res

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“…Another item which contributes to the persistence of hypertension after transplan tation is the presence of native kidneys releas ing vasopressor substances or inducing poly globulia [3,9,16].…”

Section: Discussionmentioning

confidence: 99%

Blood Pressure Behaviour in Patients with Malignant Hypertension Submitted to Kidney Transplantation

Ianhez¹,

Sabbaga²

1978

Nephron

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The authors investigated post-renal transplantation hypertension behaviour in 20 patients with primary malignant hypertension (PMH), in 42 patients with secondary malignant hypertension (SMH) and in 62 controls (without malignant hypertension). All cases of malignant hypertension required removal of primary kidneys, either before or after transplantation. Hypertension was noticed at different periods of the post-renal transplantation phase, in 93% of PMH cases, 90% of SMH cases and in only 31% of the controls. After a period of time following transplantation, a decrease of hypertension incidence in the SMH and control groups was noticed, and persistence of hypertension was observed in the PMH group. The long-term development of PMH patients was worse than that of the other two groups.

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“…[40][41][42] Initial experiences with concomitant bilateral nephrectomy and kidney transplant have resulted in unfavorable results, likely due to complex fluid shifts, peritonitis from infected cyst fluid, and graft compromise secondary to hemorrhage-induced hypotension, which was attributable to the nephrectomy portion of the procedure. 43 Although the general opinion among nephrologists and surgeons was that this combined approach involves too much surgery and might likely lead to poor outcomes, [44][45][46][47] there are some studies in the literatures that support it in decreasing the postoperative mortalities. 12,[48][49][50] Recently, the transcatheter arterial embolization technique has shown promising results as an alternative.…”

Section: Abbreviations: Ns Not Significantmentioning

confidence: 99%

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Mehrabi

Golriz

Maier

et al. 2015

Exp Clin Transplant

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27%). In deceased-donor versus living-donor transplant recipients, surgical complications included arterial stenosis (1% vs 0%), venous thrombosis (1% vs 0%), urine leakage (0.5% vs 1.9%), ureteral stenosis (0.5% vs 0%), reflux (0% vs 1.9%), lymphocele (11.7% vs 8.1%), and hernia (5.2% vs 8.1%), with no statistically significant differences shown between the groups. The living-donor group had graft and patient survival rates as high as the deceased-donor group. Conclusions: The low rate of morbidity and excellent survival rates make kidney transplant an excellent option for patients with polycystic kidney disease. Although fear of future appearance of polycystic kidney disease may reduce the rate of related living donors, our study showed that graft and patient survival rates in the living-donor group were as high as in the deceased-donor group.

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Indications for Pretransplant Nephrectomy

Cited by 28 publications

References 23 publications

Analysis of 330 Necro-Kidney-Allografts (Part 2 of 2)

Analysis of 330 Necro-Kidney-Allografts (Part 2 of 2)

Blood Pressure Behaviour in Patients with Malignant Hypertension Submitted to Kidney Transplantation

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