Living unrelated donor kidney transplantation--a fourteen-year experience.

Background: In countries without a national organization for retrieval and distribution of organs of the deceased donors, problem of organ shortage is still not resolved. In order to increase the number of kidney transplantations we started with the program of living unrelated - spousal donors. The aim of this study was to compare treatment outcome and renal graft function in patients receiving the graft from spousal and those receiving ghe graft from living related donors.

[Dynamic scintigraphy of the kidney using 99m-Tc-DTPA before and after extracorporeal shock wave lithotripsy].

The results of dynamic scintigraphy of the kidneys using 99mTc-DTPA that is glomerular radiopharmaceutic in patients before and after ESWL (extracorporeal shock wave lithotripsy) are presented. Investigation was performed in 22 patients--in 8 patients immediately before ESWL, 7 days and 3 months later, and in 14 patients before and 7 days after ESWL. The time alteration of the achievement of the maximal values of radiorenographic curve obtained by dynamic scintigraphy (Tmax), as the alteration of separate clearance (SCI) counted as an integral below the other phase of renographic curve.

[Replacement of mycophenolate mofetil with azathioprine in patients with renal transplants].

Numerous clinical studies demonstrated that mycophenolate mofetil (MMF) was significantly more effective in prevention of acute rejection episodes than azathioprine. Since the data supporting the long-term benefits of MMF therapy are not available, and considering the high cost of this therapy, we examined the safety of conversion from MMF to azathioprine in renal transplant patients. In 12 renal transplant patients (4 cadaveric and 8 living related donors) on triple immunosuppressive therapy (prednisone/MMF/cyclosporine) conversion from MMF to azathioprine was done after the first six to twelve post-transplant months.

[Tuberous sclerosis].

Tuberous sclerosis is a rare hereditary disease which appears immediately after birth of during the second and third year of life. It is a multiorgan disorder characterized by convulsions, mental retardation and focal angiofibromyoma. The main findings are brain lesions including tuberous and astrocytes hamarthomas by which this disease was named.

[Analysis of a 4-year follow-up of the results of kidney transplantation from living related donors].

The aim was to present a four-year experience in living related kidney transplantation. A total of 43 patients (9 females and 34 males) were enrolled in this study. The standard triple immunosuppressive therapy (steroids, azathioprine and cyclosporine) was administered in 19 (44.

[Histopathologic changes in the kidneys in patients with asymtomatic pathologic findings in urine].

The authors had analyzed histopathologic changes in the kidneys of patients with asymptomatic abnormalities of urine analyzing if they were correlated with the type of pathologic finding in urine. Retrospective study comprised a total of 76 patients with asymptomatic urine abnormalities. In all three groups of patients, formed upon the type of pathologic finding in urine, were determined heterogeneous histopathologic changes, and different types of glomerulonephritis, respectively.

[Posttraumatic acute renal insufficiency].

Acute renal insufficiency is a severe, but most frequent reversible illness followed by sudden onset, oliguria or anuria of indefinite duration, by rapid increase in decomposition products of protein catabolism in serum, by acidosis and fluid balance and electrolytes disorder. The aetiologic factors of acute renal insufficiency are various. A very significant aetiological factor in the appearance of acute renal insufficiency is a trauma caused by any kind or type of weapons, arms or instruments [1-5, 6, 9-13, 15].

[Acute renal insufficiency in patients after surgical treatment of dissecting aortic aneurysm].

The retrospective analysis was performed of 26 patients (5 women and 21 men), mean age of 47.04 years, surgically treated for aortic dissecting aneurysm (ADA) at the Clinic of Cardiosurgery of the M.M.