Live Donor Renal Anatomic Asymmetry and Posttransplant Renal Function

Donor renal function

• An accurate assessment of the glomerular filtration rate (GFR) should be undertaken in all potential donors. The benefit of obtaining a directly measured GFR (thought to be more accurate) over an estimated GFR, has not been proven in live donors (refer to CARI guidelines titled ‘Use of estimated glomerular filtration rate to assess level of kidney function’ and ‘Direct measurement of glomerul...

Current status of live-donor renal transplantation

Characteristics of long-term live-donor renal allograft survivors.

BACKGROUND/AIMS Despite the high rate of rejection, allograft failure and patient mortality in the early years of renal allotransplantation, some patients have done-remarkably well. We report here on 62 renal transplant recipients out of 144 patients (43%) who had functioning grafts for more than 15 years (range 15-24 years). MATERIALS Demographic and follow-up data for patients fulfilling th...

Urinary Calprotectin and Posttransplant Renal Allograft Injury

OBJECTIVE Current methods do not predict the acute renal allograft injury immediately after kidney transplantation. We evaluated the diagnostic performance of urinary calprotectin for predicting immediate posttransplant allograft injury. METHODS In a multicenter, prospective-cohort study of 144 incipient renal transplant recipients, we postoperatively measured urinary calprotectin using an en...

Cyclosporine nephrotoxicity and early posttransplant hyperkalemia in living-donor renal recipients: report of 4 cases.

OBJECTIVES Hyperkalemia is an electrolyte disorder that may occur during the first few months after a renal transplant, in patients undergoing cyclosporine immunosuppression. We present our experience with cyclosporine-associated hyperkalemia in living-donor renal transplant recipients, with isolated clinically relevant hyperkalemia soon after surgery. MATERIALS AND METHODS We report 4 living...