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Endovascular Preparation With Innovative Custom-Made Stent-Graft Before Kidney Transplantation: The Solution for Patients With Hostile Iliac Calcification.
Transpl Int
January 2025
Service d'Urologie et de Transplantation, Hospices Civils de Lyon, Lyon, France.
The increasing age of patients with end-stage renal disease raises the issue of hostile arterial access for transplantation, with technical difficulties associated with clamping and suturing the iliac artery. Some of these patients - who theoretically represent those who would benefit the most from transplantation in terms of mortality - are contraindicated because of anatomical and medical issues. In this context, a specific endovascular device called EndoPreKiT (Endovascular Preparation for Kidney Transplantation) has been designed, enabling arterial access for transplantation via a mini-invasive procedure.
View Article and Find Full Text PDFSuccessful use of deceased donors with medically complex kidneys.
Transplant Rev (Orlando)
January 2025
Division of Nephrology and Hypertension, Department of Medicine, University of California San Diego, San Diego, CA, United States of America.
The number of patients waiting for kidney transplants from deceased organ donors continues to increase. In this context, non-transplantation of acceptable kidneys is especially regrettable. Here, we review successful transplantation of deceased donor kidneys with anatomic abnormalities, intrinsic kidney diseases, and other ostensibly problematic conditions.
View Article and Find Full Text PDFThe liminal experience of awaiting for a cadaveric kidney donation: "I would not wish it on even my enemy!".
Soc Sci Med
December 2024
Ankara Etlik City Hospital, 06170, Ankara, Turkey. Electronic address:
This study aims to explore the concept of liminality in the lives of chronic kidney disease (CKD) patients in Turkiye who are undergoing dialysis while awaiting kidney transplants. The research focuses on how patients experience this transitional state, being between life stages, and how they cope with the uncertainty of their condition while aspiring for a transplant. The research involved in-depth, semi-structured interviews and participant observations of 34 dialysis patients who had been registered on the national organ waiting list for over five years.
View Article and Find Full Text PDFPostmortem/dynamic distribution of ethanol and its nonoxidative metabolites in poisoned rabbits.
Sci Rep
November 2024
School of Forensic Medicine, Shanxi Medical University, Jinzhong, 030600, Shanxi, China.
Nonoxidative ethanol metabolites have been reported as ethanol biomarkers in clinical and forensic cases. However, their forensic toxicokinetics are still unclear. The study aimed to simultaneously research the postmortem distribution and dynamic distribution of ethanol and its nonoxidative metabolites in 62 poisoned rabbits.
View Article and Find Full Text PDFContinuous spinal anaesthesia for kidney transplantation in a lupus patient with severe mitral regurgitation: A case report.
Rev Esp Anestesiol Reanim (Engl Ed)
January 2025
Departamento de Cardiologia, Hospital Dr. Nélio Mendonça, Funchal, Portugal.
Anaesthesia for kidney transplant in a patient with severe mitral regurgitation is a real challenge given the need for judicious haemodynamic management to avoid pulmonary oedema and maximise reperfusion of the transplanted organ. This is the first experience described in the literature of continuous spinal anaesthesia in a patient with chronic severe mitral regurgitation undergoing cadaver donor kidney transplant. Transthoracic echocardiography monitoring was used during the procedure to avoid aggravating the patient's mitral regurgitation.
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