Postrenal Transplantation Urologic Complications

Buresley, S.; Samhan, M.; Moniri, S.; Codaj, J.; Al-Mousawi, M

doi:10.1016/j.transproceed.2008.06.036

Cited by 41 publications

(26 citation statements)

References 7 publications

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“…Causing irreversible acute tubular necrosis, thrombotic complications are related with early graft failure (25,27). Early urinary complications such as ureteral necrosis and urinary leakage are seen at a rate of 4.6-8.7% in DDKTx patients (24,(28)(29)(30). Although they are usually complicated with urinary tract infections (31), graft and patient SR are not affected by surgically-treated urinary complications (30,32,33).…”

Section: Discussionmentioning

confidence: 99%

“…Early urinary complications such as ureteral necrosis and urinary leakage are seen at a rate of 4.6-8.7% in DDKTx patients (24,(28)(29)(30). Although they are usually complicated with urinary tract infections (31), graft and patient SR are not affected by surgically-treated urinary complications (30,32,33). There are studies showing that graft SR is impaired in patients with surgical complications as in our study (34,35).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey

Kumru¹,

Çelebi²,

Aktürk³

et al. 2016

Turk Neph Dial Transpl

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OBJECTIVE:Renal transplantation is the treatment of choice in end-stage renal diseases. Long-term allograft function has remained steady in deceased donor kidney transplantation (DDKTx) during recent decades. In this study, we evaluated DDKTx outcomes at our hospital. MATERIAL and METHODS:72 cadaveric transplant patients who were grafted between January 2002 and October 2013 at our center were analysed retrospectively. Recipients and donors' demographic properties, immunologic and nonimmunologic characteristics, allograft function and emerging complications were examined. Factors associated with graft and patient loss were investigated. RESULTS:Mean follow-up period was 60±38 months. Mean recipient age was 42±11 years, of which 51.4% was male. Dialysis vintage was 83±59 months, while mean cold ischemia time was 12±3 hours. One and five year graft and patient survival rates were 94.4%, 92.3% and 97.2%, 89.9% respectively. High serum creatinine value at discharge (p=0.003) and early surgical complications (p=0.041) were independent risk factors associated with poor graft survival. Having a recipient age ≥46 years (p=0.037) and cardiovascular disease (p=0.017) caused patient loss. Cardiovascular disease was independently associated with patient loss (HR=6.45[1.08-38.70], p=0.041). CONCLUSION:In this study, it was demonstrated that creatinine value at discharge and early surgical complications were associated with allograft loss, while cardiovascular disease was associated with patient loss in DDKTx. BULGULAR: Ortalama takip süresi 60±38 aydır. Alıcıların ortalama yaşı 42±11 yıl, %51.4'ü erkektir. Nakil öncesi ortalama diyaliz süresi 83±59 aydır. Ortalama soğuk iskemi zamanı 12±3 saattir. Bir ve beş yıllık graft sağkalımı sırasıyla %94.4, %92.3; hasta sağkalımı %97.2, %89.9'dur. Hastaneden çıkış kreatinini yüksekliği (p=0.003) ve erken cerrahi komplikasyonların gelişimi (p=0.041) graft sağkalımını olumsuz etkileyen bağımsız risk faktörleridir. Alıcı yaşı≥46 olması (p=0.037) ve kardiyovasküler hastalık gelişimi (p=0.017) hasta kaybını artırmaktadır. Kardiyovasküler hastalık gelişimi hasta kaybı için bağımsız risk faktörüdür (HR=6,], p=0.041).SONUÇ: Çalışmada, kadaverik böbrek nakillerinde hastaneden çıkış kreatinini yüksekliği ve erken cerrahi komplikasyonların gelişiminin allograft kaybını, kardiyovasküler hastalık gelişminin hasta kaybını artırdığı gösterilmiştir.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey

Kumru¹,

Çelebi²,

Aktürk³

et al. 2016

Turk Neph Dial Transpl

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“…This result is due to clearer definition of the vessel lumen without the overwriting seen with B-flow. In PDU, overestimation of the normal vessel lumen is caused by overwriting, and underestimation of the stenotic vessel lumen is caused by limitations in detecting flow (Buresley 2008). BFU examination does not require separate equipment and can be implemented by using the same Doppler equipment that has the necessary hardware by adding some software.…”

Section: Discussionmentioning

confidence: 99%

“…Another is that sensitivity in BFU is decreased with increasing depth because of strong dependence on signal intensity strength. This limitation is especially significant in evaluation of iliac vessels, because they are more deeply rooted (Buresley 2008). Finally, the remaining two limitations are background flash and difficulty in showing slow flow.…”

Section: Discussionmentioning

confidence: 99%

Post-Tx Renal Monitoring with B-Flow Ultrasonography

Rosa¹,

Russo²,

Cerbone³

2011

Kidney Transplantation - New Perspectives

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“…1 Urolithiasis is an uncommon sequela after renal transplant with a varying incidence of up to 3%. [2][3][4][5][6][7][8][9] Stones in the allograft may be donor gifted or de novo, which develop after transplant. A donor with a stone-bearing kidney is no longer a contrain dication for donation provided that certain criteria are met, 10 a term called "donor-gifted nephrolithiasis."…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

Exp Clin Transplant

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Objectives: We report on the long-term follow-up of managing allograft stones at a single tertiary referral institution and review the relevant literature. Materials and Methods: A retrospective analysis of renal allograft recipient charts was performed to identify patients who developed allograft lithiasis between 1974 and 2009. Patient and stone characteristics, diagnoses, treatments, and outcomes were described. Results: Sixteen patients developed 22 stones after a median follow-up of 170 months (range, 51-351 mo). The mean (standard deviation) and median diameter of the stones were 13.8 (8.5) mm and 11 mm. Among these, 3 stones were treated conservatively, 3 by shock-wave lithotripsy, and 7 by cystolitholapaxy. Seven patients underwent percutaneous treatment in the form of percutaneous nephrostomy tube fixation and spontaneous passage of stone (1 stone), shock-wave lithotripsy (1 stone), antegrade stenting (1 stone), and percutaneous nephrolithotomy (6 stones). All patients were stone free after treatment, except for 2 patients whose stones were stable and peripheral on long-term follow-up. Conclusions: Allograft lithiasis requires a multimodal treatment tailored according to stone and graft characteristics. Protocols regarding spontaneous passage can be adopted if there is no harm to the graft and the patient is compliant. Careful attention to the anatomy during percutaneous nephrostomy tube placement is mandatory to avoid intestinal loop injury. A more attentive follow-up is required for early stone management.

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Postrenal Transplantation Urologic Complications

Cited by 41 publications

References 7 publications

Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey

Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey

Post-Tx Renal Monitoring with B-Flow Ultrasonography

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Postrenal Transplantation Urologic Complications

Cited by 41 publications

References 7 publications

Factors Affecting Allograft and Patient Survival in Deceased Donor ￼Kidney Transplantation: A Single Center Experience in Turkey

Factors Affecting Allograft and Patient Survival in Deceased Donor ￼Kidney Transplantation: A Single Center Experience in Turkey

Post-Tx Renal Monitoring with B-Flow Ultrasonography

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Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey

Factors Affecting Allograft and Patient Survival in Deceased Donor Kidney Transplantation: A Single Center Experience in Turkey