"Out of Sight, Out of Mind": The Failed Renal Allograft as a Cause of ESA Resistance.

Approximately 10% of patients treated with erythropoiesis-stimulating agents (ESAs) for the anemia of chronic kidney disease are unresponsive or relatively resistant to therapy. The etiology of this is usually linked to iron deficiency or an independent underlying illness. We describe a hemodialysis patient with a failed renal transplant 1.

Identification of urologic complications after kidney transplant.

Urologic complications after kidney transplant are important causes of morbidity, hospitalization, and transplant loss. We report 2 cases of clinically unsuspected urine extravasation after kidney transplant that were diagnosed accurately using SPECT/CT (single-photon emission computed tomography/computed tomography) radionuclide renal scan and corrected using surgery. These cases emphasize the value of dynamic radionuclide renal scan using SPECT/CT in the detection of urologic complications.

The first decade of a laparoscopic donor nephrectomy program: effect of surgeon and institution experience with 512 cases from 1996 to 2006.

Background: Although the procedure is generally safe, significant morbidity and even mortality have occurred after laparoscopic donor nephrectomy (LDN). The learning curves for both surgeons and institutions with LDN have not been well delineated, and longterm donor data are not well reported.

Study Design: A retrospective study of the initial 512 patients undergoing LDN performed at Mount Sinai Medical Center between October 1996 and March 2006 was performed.

Laparoscopic donor nephrectomy: intraoperative safety, immediate morbidity, and delayed complications with 500 cases.

Background: Several large series of laparoscopic donor nephrectomy (LDN) have been published, largely focusing on immediate results and short-term complications. The aim of this study was to examine the results of LDN and collect medium-term and long-term donor followup.

Methods: We examined the results of two surgeons who performed 500 consecutive LDNs from 1996 to 2005.

Pre-donation assessment of kidneys by magnetic resonance angiography and venography: accuracy and impact on outcomes.

Reports on the accuracy of magnetic resonance angiography (MRA) and magnetic resonance venography (MRV) in evaluating living donor renovasculature employ few patients or omit the consequences of inaccurate scans. We retrospectively compared intraoperative findings to MRA/MRV scans in 146 donor-recipient pairs. For detecting accessory arteries and early branching, MRA sensitivity was 57.