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Failing Kidney Allograft.pdf

042526_09a124f60e6f4f4d9ced269b381543e8.pdf

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📊 Size: 1.61 MB

👤 Author: adria

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Summary

A 58-year-old AA male with a history of DDKT in 2004 from a 60-year-old donor, with a current serum Cr of 4.9 mg/dl and e-GFR of 15.0 ml/min/1.73m2, presents a case of a failing kidney allograft. Key factors to recognize a failing allograft include CKD stage 4T or 5T, e-GFR <20 ml/min/1.73m2, and estimated graft survival <6 months to 1 year. Management involves adjusting immunosuppression, considering access placement and dialysis re-initiation, and potentially transplant nephrectomy. Baseline GFR, recipient and donor factors, and KDPI are crucial in predicting long-term deceased kidney transplant survival. A 30% decline in e-GFR between years 1 and 3 post-transplant is strongly associated with all-cause graft loss.

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Description

A 58-year-old AA male with a history of DDKT in 2004 from a 60-year-old donor, with a current serum Cr of 4.9 mg/dl and e-GFR of 15.0 ml/min/1.73m2, presents a...

Technical Information

File Format: PDF
File Size: 1.61 MB
Pages: 14
Language: EN
Author: adria
Total Downloads: 93
Last Updated: 4 weeks ago

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