Review article

https://doi.org/10.21860/medflum2020_245215

Evaluation of kidney recipients and donors for transplantation

Ita Jelić Pranjić orcid.org/0000-0003-0594-6113 ; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Tea Vrdoljak Margeta ; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Lidija Orlić ; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Branka Sladoje Martinović ; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Željko Župan ; Zavod za intenzivnu medicinu, Klinika za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Sanjin Rački ; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska

Abstract

Considering the growing number of elderly patients with end-stage renal disease, and the simultaneous goal of including as many patients on the waiting list for kidney transplantation, potential kidney transplant recipients should undergo a rigorous selection and evaluation. For the same reason, after diagnostic procedures, we have to try all available therapeutic possibilities to eliminate contraindications. After putting patients on the waiting list, it is necessary to further monitor potential recipients and to treat all contraindications. The supporting fact is the declining number of absolute contraindications for kidney transplantation over the past few years. Equally the extensive evaluation of a potential kidney transplant donor is important because it enables easier decision about kidney transplantation, as well as the preparation of a potential kidney recipient for surgery, selection of immunosuppressive therapy and further procedures before and after the kidney transplantation. The goal is to place as many patients as possible on the wthe aiting list before starting dialysis treatment (preemptive kidney transplantation) and to enable living donor transplant, because existing research shows that the best results are achieved then.

Keywords

contraindications; kidney transplantation; living-donor transplant; preemptive kidney transplantation; waiting list

Hrčak ID:

245215

URI

https://hrcak.srce.hr/245215

Publication date:

1.12.2020.

Article data in other languages: croatian

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