In patients with terminal liver disease, re-transplantation after early graft loss is common otherwise the prognosis is very poor. This improves both quality of life and survival of the patient, 5 in addition to ameliorating the psychological problem of early graft loss. The performance of express transplant seeks to obtain the benefit of performing an inevitable transplantectomy with the implantation of another graft in the same surgical act. 6 Early vascular complications of transplantation may cause the loss of the graft and the need for transplantectomy. 5 Current indications for transplantectomy include early graft loss, intolerance syndrome, severe proteinuria, recurrent pyelonephritis, neoplasia, and chronic inflammation syndrome. 4 The mortality of these patients is greater than those with functional graft or in renal replacement therapy without previous transplantation.
3 A 4–10% of patients who start dialysis have a non-functioning kidney graft, and up to 32% of cases require transplantectomy for various reasons. Vascular complications of renal transplantation represent an important cause of morbidity and mortality, and frequently lead to early graft loss, 2 which is around 5% in the most recent series. Renal transplantation is the treatment of choice in patients with advanced chronic kidney disease (CKD) as it improves the quality of life and survival of patients.
0 kommentar(er)
