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 ...
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-...
The search for a suitable deceased donor often leads to prolonged and uncertain wait times, making living donor transplants a viable alternative. However, approximately 40% of living donors are incompatible with their intended recipients. Therefore, many countries have established kidney exchange ...
These findings suggest that policies to promote referral for transplant should be accompanied by efforts to strengthen shared decision-making to ensure that referral is framed as an explicit treatment choice with benefits, risks, and alternatives. Despite the substantial tradeoffs involved, the transplant...
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...
He often finds transplant recipients more worried about potential risks to their donors than the would-be donors themselves. "For them, this is even more reassuring to allow their friends or family to donate on their behalf," Segev said. ...
(ATI) further improve liver assessment through the quantitative staging of liver fibrosis and steatosis as well as the detection of subtle changes in liver tissue at an early stage [23]. Thus, they provide diagnostic alternatives to MRI and CT scans with high applicability and acceptance rates ...
of drug excretion (renal versus non-renal); the potential for nephrotoxicity; the effect of AKD on drug metabolites and/or the effect of AKD on the non-renal metabolism of drugs; the strength of indications and/or urgency for their use; and the availability of suitable alternatives (Box 7)...
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...
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...