PREEMPTIVE CADAVERIC KIDNEY TRANSPLANTATION
https://doi.org/10.15825/1995-1191-2009-3-56-61
Abstract
An article presents the results of cadaveric kidney transplantation (KT) in patients with end-stage of renal disease (ESRD) before initiation of hemodialysis (n = 20) and in patients after prior hemodialysis (n = 33). Survival of the recipients and transplants in 3 years period after preemptive KT is 90 and 70% respectively, and 90,8 and 60,6% – in patients after prior hemodialysis (р < 0,05). A disturbance frequency of the lipid profile, phosphorus and calcium homeostasis as well as the level of the arterial hypertension and the number of hypotensive drugs were assessed in recipients before hemodialysis and after prior hemodialysis in 3 years period after KT. The received data showed an advantage of preemptive KT compared to KT after prior hemodialysis.
About the Authors
T. I. Shraer
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
A. A. Salmayer
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
T. A. Piminova
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
Y. L. Reznik
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
Ju. B. Glebova
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
O. V. Lucenko
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
L. D. Chesnokova
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
N. K. Galcovsky
Regional clinical hospital,
Center of kidney transplantation, Kemerovo
Russian Federation
Russian Federation
References
1. Данович Г.М. Руководство по трансплантации поч- ки / Пер. с англ. Тверь: Триада, 2004. 472 с.
2. Мойсюк Я.Г. Трансплантация почки от живого родс- твенного донора – новый взгляд и подходы к пробле- ме // Вестник трансплантологии и искусственных органов. 2001. No 3–4. С. 56–62.
3. Руководство по диализу / Под ред. Д.Т. Даугирдас, П.Д. Блейк, Т.С. Инг; пер. с англ. Тверь: Триада, 2003. 744 с.
4. Рябов С.И. Нефрология / С.И. Рябов. СПб., 2000. 672 с.
5. Томилина Н.А. Отдаленные результаты транспланта- ции трупной почки на современном этапе // Меди-
6. цинская кафедра. 2005. No3. С. 20–21
7. .6. Томилина Н.А., Ким И.Г. Факторы риска позднего прекращения функции трансплантата // Нефрология и диализ. 2000. No4. С. 259–273.
8. Чупрасов В.Б. Программный гемодиализ // СПб.,2001. 253 с.
9. Asderakis A., Augustine T., Dyer P. Preemptive kidney transplantation: the attractive alternative // Nephrol Dial Transplant. 2002. Vol. 13 (7). – P. 1799–1803.
10. Broyer M., Brunner F., Brynger H. et al. Combined re- port on regular dialysis and transplantation in Europe, 1987 // Nephrol Dial Transplant. 1988. Suppl. 1,5.
11. Brynger H., Brunner F., Challan S. et al. Influence of pretransplant dialysis on survival of first cadaveric renal transplants // Transplant. Proc. 1985. Vol. 17. P. 2798.
12. Hariharan S. Improved graft survival after renal trans- plantation in the United States // N. Eng. J. Med. 2000. Vol. 42. P. 605.
13. Holley J.L., Cauley C. Mc, Donerty B. Patients, views in the choice of renal transplant // Kidney Int. 1996. Vol. 49. P. 494.
14. Kasiske B.L., Snyder J.J., Matas A.J. et al. Preemptive kidney transplantation: the advantage and advantaged // J. Am. Soc. Nephrol. 2002. Vol. 13. P. 1358–1364.
15. Kasiske B.L., Guijarro C., Massy Z.A. Cardiovascular disease after renal transplantation // J. Am. Soc. Nephrol. 1996. Vol. 7. P. 158–165.
16. Traynor J.P., Simpson K., Geddes C.C. Early initiation of dialysis fails to prolong survival in patients with end- stage renal failure // J. Am. Soc. Nephrol. 2002. Vol. 13. P. 2125–2132.
17. Wolfe R.A., Ashby V.B., Milford E.L. Comparison of mortality in all patients on dialysis, patients on dialy- sis awaiting transplantation and recipients of a first ca- daveric transplant // N. Engl. J. Med . 1999. Vol. 341. P. 1725–1730.
Review
For citations:
Shraer T.I., Salmayer A.A., Piminova T.A., Reznik Y.L., Glebova J.B., Lucenko O.V., Chesnokova L.D., Galcovsky N.K. PREEMPTIVE CADAVERIC KIDNEY TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2009;11(3):56-61. (In Russ.) https://doi.org/10.15825/1995-1191-2009-3-56-61
Views:
1029
Email this article 