216 results match your criteria: "Dr H.L. Trivedi Institute of Transplantation Sciences[Affiliation]"

Objectives: There is scarcity of data on reoccurrence of SARS-CoV-2 infections in kidney transplant recipients.

Materials And Methods: We conducted a retrospective multicenter cohort study and identified 13 kidney transplant recipients (10 living and 3 deceased donors) with recurrent COVID-19, and here we report demographics, immunosuppression regimens, clinical profiles, treatments, and outcomes.

Results: COVID-19 second infection rate was 0.

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NOTTO COVID-19 Vaccine Guidelines for Transplant Recipients.

Indian J Nephrol

April 2021

Director General of Health Services, New Delhi, India.

In December 2019, novel coronavirus (SARS-CoV-2) infection started in Wuhan and resulted in a pandemic within a few weeks' time. Organ transplant recipients being at a risk for more severe COVID-19 if they get SARS CoV-2 viral infection, COVID-19 vaccine has a significant role in these patients. The vaccine is a safer way to help build protection and would either prevent COVID-19 infection or at least diminish the severity of the disease.

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Thrombotic microangiopathy in a renal allograft: Single-center five-year experience.

Saudi J Kidney Dis Transpl

October 2021

Department of Biostatistics, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Centre and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital-Medicity Campus, Asarwa, Ahmedabad, India.

Thrombotic microangiopathy (TMA) is devastating for renal transplantation (RT) causing graft/ patient loss. We present 5-year experience of TMA in RT in retrospective study of indicated renal allograft biopsies with TMA. Patient-donor demographics and associated histological findings with respect to transplants under tolerance induction protocol (Group 1) were compared with patients transplanted under triple immunosuppression (Group 2).

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Background: There is lack of data on feasibility and safety of kidney transplants from living donors who recovered from COVID-19.

Methods: Here, we present a retrospective cohort study of 31 kidney transplant recipients (KTR) from living donors who recovered from polymerase chain reaction confirmed COVID-19 across 19 transplant centers in India from July 3, 2020, to December 5, 2020. We detailed demographics, clinical manifestations, immunosuppression regimen, treatment, and outcomes.

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NOTTO Transplant Specific Guidelines with Reference to COVID-19.

Indian J Nephrol

August 2020

Director General Health Services, Ministry of Health and Family Welfare, Nirman Bhawan, New Delhi, India.

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Two Decades of Deceased Donor Kidney Transplantation at Ahmedabad, India.

Exp Clin Transplant

October 2020

From the Department of Nephrology and Clinical Transplantation, Institute of Kidney Diseases and Research Center, Dr. H. L. Trivedi Institute of Transplantation Sciences, Ahmedabad, India.

Article Synopsis
  • The study at the Institute of Kidney Diseases and Research Center in Ahmedabad, India, analyzes two decades of outcomes from 943 deceased donor kidney transplants conducted between 1997 and 2020.
  • Among the 831 recipients, the study reports a 70% patient survival rate and an 84% graft survival rate over an average follow-up of 8 years, highlighting effective strategies that broaden the donor pool.
  • The research emphasizes the potential for deceased donor transplants, including those from expanded criteria donors and innovative organ procurement methods, to enhance kidney availability and patient outcomes.
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Article Synopsis
  • The main strategies for preventing the spread of COVID-19 include social distancing, handwashing, mask usage, travel restrictions, lockdowns, and testing, but implementing these in resource-limited developing countries is challenging.
  • Key considerations for deceased-donor organ transplants in these settings involve limited medical resources, healthcare worker availability, and the evolving nature of the pandemic, which complicates efforts to provide care.
  • The text advocates for prioritizing pandemic resolution over organ transplants, suggesting that transplant decisions should be made on a case-by-case basis, weighing the necessity against the available resources.
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Tamil Nadu, Gujarat, Telangana, Maharashtra, Kerala, Chandigarh, Karnataka, National Capital Territory of Delhi, and Rajasthan are states and union territories having active deceased-donor organ transplant programs in India. Transplant data (2013-2018) have been collected by the National Organ and Tissue Transplant Organization from all states and union territories of India and submitted to the Global Observatory on Donation and Transplantation. From 2013 to 2018, 49155 transplants were reported in India, including 39000 living-donor organ recipients and 10 155 deceased-donor organ recipients.

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Robotic Assisted Dual Kidney Transplantation With Monolateral Iliac Vessels.

Urology

October 2020

Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre & Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad-380016, India.

Article Synopsis
  • The study demonstrates the successful technique of dual kidney transplantation using the da Vinci Si robotic platform in six recipients, employing a minimally invasive approach.
  • The surgeries were performed without conversion to open operations, with average surgical times for venous and arterial connections being 16.4 and 17.5 minutes, respectively.
  • Despite minor complications, including delayed graft function in two patients and one postoperative death from pneumonia, the results indicate that dual kidney transplantation through a 7 cm Pfannenstiel incision is technically feasible.
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The coronavirus disease-19 (COVID-19) pandemic has affected 1,029,968 people in Asia as of May 16, 2020. Although Asia was the first continent to be affected, many countries in the region continue to battle COVID-19, which challenges the way transplant programs provide their services. Given the diversity of healthcare systems in Asia, the countermeasures in response to COVID-19 are as potentially diverse.

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Ten-year appraisal of pediatric renal allograft biopsies: Points to ponder.

Saudi J Kidney Dis Transpl

April 2021

Department of Biostatistics, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Centre and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.

There is paucity of literature on pediatric renal allograft biopsy (RAB) evaluation. We present RAB findings of pediatric renal transplantation (RT) and correlate with outcome. This is a 10-year retrospective study of diagnostic RAB of children <12 years divided in to three groups: Group 1 (n = 9): less than haplo-match living donor RT (LDRT), Group 2 (n = 32): greater than or equal to haplo-match LDRT, and Group 3 (n = 7): deceased donor RT.

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Bedside prediction of the central venous catheter insertion depth - Comparison of different techniques.

J Anaesthesiol Clin Pharmacol

January 2019

Department of Anaesthesia and Critical Care, Smt. K. M. Mehta and Smt. G. R. Doshi Institute of Kidney Diseases and Research Center, Civil Hospital Campus, Dr. H. L. Trivedi Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.

Background And Aims: Central venous catheterization is a frequently performed procedure in anesthesia and critical care, and is indispensable in the practice of emergency medicine. Correct positioning of the central venous catheter (CVC) tip is often regarded as a secondary goal and there are various complications that can occur due to abnormal position of the catheter tip. Different methods have been advocated to guide accurate prediction of optimal CVC depth insertion before or during the procedure at the bedside.

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C1q nephropathy is a rare glomerular disease defined by the presence of characteristic mesangial dominant or codominant C1q deposition on immunofluorescence microscopy. Neurofibromatosis type 1 (NF-1) is an autosomal dominant syndrome caused by a mutation of a gene located on chromosomal segment 17q11.2.

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Prolonged inflammation or irritation due to renal calculi can induce glandular metaplasia of the urothelium and even malignant neoplasm. Primary adenocarcinoma in pelvicalyceal system is a rare tumor in such patients. Here, a case of carcinoembryonic antigen (CEA) positive primary tubulovillous adenocarcinoma in pelvicalyceal system is reported.

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Clinical and laboratory profile of renal amyloidosis: A single-center experience.

Saudi J Kidney Dis Transpl

November 2019

Department of Nephrology and Clinical Transplantation, Institute of Kidney Diseases and Research Centre, Dr. H. L. Trivedi Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.

The kidney is the most common organ involved in systemic amyloidosis. We aimed to study etiology and clinicopathological profile of renal amyloidosis. This was a retrospective study of 40 consecutive adult patients with biopsy-proven renal amyloidosis evaluated over a period of two years.

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An uncommon cause of rapidly progressive renal failure in a lupus patient: Pauci-immune crescentic glomerulonephritis.

Saudi J Kidney Dis Transpl

October 2019

Department of Nephrology and Clinical Transplantation, Institute of Kidney Diseases and Research Center, Dr. H. L. Trivedi Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.

We report a case of systemic lupus erythematosus (SLE) who presented with rapidly progressive renal failure (RPRF) with positive antinuclear antibody (ANA) and anti-double-stranded DNA (dsDNA) antibody and active urinary sediment in the form of microscopic hematuria and proteinuria. Provisional clinical diagnosis of lupus nephritis was made. Renal biopsy showed pauci-immune crescentic glomerulonephritis, the diagnosis of which was supported by positive serum anti-MPO antibody.

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C4d-negative antibody-mediated rejection: A pathologist's perspective and clinical outcome.

Saudi J Kidney Dis Transpl

October 2019

Department of Nephrology and Transplantation Medicine, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Center and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.

Banff'13 update included C4d-antibody-mediated rejection (ABMR) as a separate entity responsible for graft dysfunction with limited clinical/prognostic implications. We present a retrospective study to determine the incidence and outcome of C4d-negative ABMR. A total of 987 renal allograft (RA) biopsies obtained from 987 RA recipients were studied from January 2013 to January 2016.

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Clinicopathological study of nondiabetic renal disease in type 2 diabetic patients: A single center experience from India.

Saudi J Kidney Dis Transpl

July 2019

Department of Nephrology and Transplantation Medicine, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Center and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India.

Diabetic nephropathy (DN) is a major complication of diabetes mellitus (DM), leading to chronic kidney disease/end-stage renal disease. Wide spectrum of nondiabetic renal diseases (NDRD) is reported in type-2 diabetes (type-2 DM). We carried out this single-center study to find clinical, laboratory, and histological features of NDRD in type-2 DM patients and to assess the prevalence of NDRD in India.

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Urinary Screening for Early Detection of Kidney Diseases.

Indian J Pediatr

August 2018

Department of Pathology, Lab Medicine, Transfusion Services & Immunohematology, G.R. Doshi and K.M Mehta Institute of Kidney Diseases and Research Centre and Dr. H.L. Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, 380016, India.

Objective: Urinary screening is a simple inexpensive tool to evaluate kidney functions. The authors carried out urinary screening of school children for early detection of kidney diseases.

Methods: Children in the age group 5-15 y were screened for urinalysis.

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Small round tumour cells (CD38, CD 79a positive) in the adrenal gland.

Urol Case Rep

January 2018

Department of Pathology, Laboratory Medicine, Transfusion Services and Immunohematology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases & Research Centre, Dr. H.L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India.

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Article Synopsis
  • This study presents the first successful 4-way kidney exchange transplant combined with desensitization in India, aimed at improving access for sensitized patients needing living-donor transplants.
  • The procedures were ethically approved and conducted without any medical or surgical complications, providing stable health outcomes for all recipients over an 11-month follow-up.
  • The research highlights the potential of this method to help disadvantaged groups in developing countries by pairing kidney exchange with desensitization techniques, paralleling successes seen in developed nations.
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Repercussions of eosinophils in a renal allograft - Predictor of early graft loss!

Saudi J Kidney Dis Transpl

August 2019

Department of Cell Therapy and Regenerative Medicine; Department of Nephrology and Transplantation Medicine, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Center and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India.

We present 5-year experience of renal transplantation (RT) with tissue eosinophilia (TE) in renal allograft biopsy (RAB) and its repercussions on the outcome. In total, 1217 recipients underwent RT from 2011 to 2015, and they were evaluated for the presence of ≥4% TE. Group 1 consisted of RT with RAB showing TE, Group 2 consisted of RT with RAB with rejections without TE, and Group 3 consisted of RT without rejections.

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