Assessment of the potential renal transplant recipient

Mark, P. and Jardine, A. (2012) Assessment of the potential renal transplant recipient. In: MacPhee, I. A. M. and Froněck, J. (eds.) Handbook of Renal and Pancreatic Transplantation. Wiley-Blackwell: Oxford, pp. 8-31. ISBN 9780470654910

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Abstract

Renal transplantation is the optimal treatment for appropriately selected patients with end stage renal disease. Optimisation of the recipient’s health prior to transplantation ensures best use of the transplant kidney to prolong graft survival and minimise risks of long-term immunosuppresion. Assessment of the potential recipient should avoid undue delay to transplant listing but nonetheless address remediable barriers to transplantation. The transplant operation should not pose such a high peri-operative risk that transplantation cannot be justified. Potential technical (surgical) obstacles to transplantation should be identified and resolved where possible. The assessment process can address other co-morbid conditions including cardiovascular, respiratory and gastroenterological disease. Lifestyle issues such as smoking and obesity may be discussed. Likelihood of recurrence of primary renal disease following transplantation can be considered and pre-emptive preventative strategies be planned. Prior malignancy is a relative contraindication to transplantation and the oncological history can inform risk of tumour recurrence with immunosuppresion.

Item Type:Book Sections
Status:Published
Glasgow Author(s) Enlighten ID:Mark, Dr Patrick and Jardine, Professor Alan
Authors: Mark, P., and Jardine, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Publisher:Wiley-Blackwell
ISBN:9780470654910

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