BACKGROUND Elderly patients (ages 70 yr and older) are among the fastest-growing group starting renal-replacement therapy in the United States. The outcomes of elderly patients who receive a kidney transplant have not been well studied compared with those of their peers on the waiting list. METHODS Using the Scientific Registry of Transplant Recipients, we analyzed data from 5667 elderly rena...

BACKGROUND Perioperative cardiovascular events in renal transplantation are common and non-invasive cardiac stress tests are recommended in high-risk renal transplant candidates. In 2004, we introduced a standardized preoperative cardiac risk assessment programme with the aim of reducing perioperative cardiac events. METHODS Since 2004, all asymptomatic high-risk renal transplant candidates h...

BACKGROUND Renal transplant candidates are at high risk of coronary artery disease (CAD). We sought to develop a new risk score model to determine the pre-test probability of the occurrence of significant CAD in renal transplant candidates. METHODS A total of 1,060 renal transplant candidates underwent a comprehensive cardiovascular risk evaluation. Patients considered at high risk of CAD (ag...

Stress Imaging in Renal Transplant Candidates To the Editor: I read with interest the recent paper published by De Lima et al.1 A recent meta-analysis by Rabbat et al2 casts doubt on one conclusion of De Lima et al, as Rabbat et al found that noninvasive stress imaging was predictive of acute myocardial infarction and cardiac death in renal transplant candidates. De Lima et al’s findings regard...

toxoplasmosis is a wide distributed opportunistic infection caused by toxoplasma gondii. this was a cross-sectional study of t. gondii antibody titer, which was conducted from june 2003 to august 2004 on renal transplant recipients in iran. a total of 551 serum samples were obtained from randomly selected population referred from different areas all over the country to shafa central clinic in t...

Combined liver and kidney transplant (CLKT) is the procedure of choice for patients with both liver and kidney end-stage-disease. In addition, patients with polycystic liver or kidney disease or with hyperoxaluria, or those with cirrhosis and acute renal failure, including hepatorenal syndrome receiving hemodialysis (HD) for more than two months, may also benefit of CLKT. The decision to transp...

Background: Renal transplant candidates are frequently declined access to transplantation secondary to obesity and poor functional status. To maintain candidacy on the transplant waiting list, these patients are often required to lose significant weight. Substantial weight loss commonly produces a panniculus, generating a transplant site at high-risk for wound complications, blocking access to ...

Background: Renal transplant candidates are frequently declined access to transplantation secondary to obesity and poor functional status. To maintain candidacy on the transplant waiting list, these patients are often required to lose significant weight. Substantial weight loss commonly produces a panniculus, generating a transplant site at high-risk for wound complications, blocking access to ...