100 Women taking mycophenolic acid should undergo counseling before conception, and be offered alternatives to this medication that will be safe for the patient and kidney allograft, as well as minimize fetal risks.101 Male fertility also may be low in advanced CKD. Men on dialysis have been ...
27 studied the association between dietary intake, assessed by two 24-hour dietary recalls using the 5-step multiple-pass method, and serum uric acid levels in 113 kidney transplant recipients. They found that patients who ingested more vegetable protein and caffeine exhibited a lower likelihood of...
In these cases, ureteroureterostomy or pyeloureterostomy are described as possible alternatives [7, 8, 18]. For pyeloureterostomy, the recipient's ureter is cut and sutured to the transplant pelvis [25]. Ureteroureterostomy is conducted by suturing the spatulated donor ureter to the recip-...
Hypotonic intravenous fluid is commonly used in the post-transplant period due to clinicians' concerns about the sodium, chloride and potassium content of isotonic alternatives when administered in large volumes. Plasma-Lyte 148 is an isotonic, balanced intravenous fluid that contains sodium, chloride,...
Complex ureteral diseases are also important indications for KAT. In a retrospective study of autologous kidney transplant patients in the US Nationwide Inpatient Sample Database, Moghadamyeghaneh et al. [2] found that ureteral disease was the second most common indication with the lowest complicatio...
Since therapeutic alternatives to gametotoxic immunosuppressants exist both in chronic immunological kidney diseases and in kidney transplantation, the use of cryopreservation techniques is not systematically advised. It can, however be considered in selected cases. A still open question is whether certain...
of supportive measures, including discontinuation of nephrotoxins if possible, optimiza- tion of fluid status and haemodynamics, consideration of functional haemodynamic monitoring, monitoring SCr and urine output, avoidance of hyperglycaemia and consideration of alternatives to radiocontrast procedures [82]....
Anaemia is common in chronic kidney disease (CKD) encompassing non-dialysis dependent CKD (NDD-CKD) and dialysis dependent CKD (DD-CKD); people on peritoneal dialysis (PD) and haemodialysis (HD); and kidney transplant recipients (KTR). Iron deficiency an
Alternatives to the Percutaneous Approach When the percutaneous approach is contraindicated, other approaches to renal biopsy have been described. The choice of technique depends on the safety, morbidity, recovery period, and adequacy of the technique, but probably above all on the local expertise that...
Alternatives include selective serotonin-norepinephrine reuptake inhibitors such as duloxetine and tricyclic antidepressants such as amitriptyline. Potential adverse effects and recommended starting doses are outlined in Table 3. In patients with CKD, it is essential to start with low doses and uptitrate...