Naslov
Preemptive kidney transplantation from living donor

Autori
Markić, Dean ; Španjol, Josip ; Krpina, Kristian ; Gršković, Antun ; Rahelić, Dražen ; Materljan, Mauro ; Trošelj, Marin ; Pavletić Peršić, Martina ; Orlić, Lidija ; Bubić, Ivan ; Arefijev, Andrea ; Rački, Sanjin

Izvornik
Medica Jadertina (0351-0093) 46 (2016), 1-2; 43-46

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
: preemptive transplantation, living donor, chronic kidney disease, IgA nephropathy

Sažetak
Pre-emptive kidney transplantation is the type of transplantation that is performed before starting dialysis. It allows a better quality of life to the patient and significant reduction of costs in comparison with dialysis, and also is connected with higher survival rate of graft and patient. We present a 26-year-old patient diagnosed with chronic kidney disease (CKD) due to IgA nephropathy. His kidney function despite immunosuppressive therapy gradually decreased in time but an onset of acute enterocolitis has lead to significant and permanent deterioration of kidney function with the forthcoming need for renal replacement therapy. His mother was accepted as a living kidney donor. The left kidney of the mother was transplanted to right iliac fossa of the patient. The operation went without any complications. The postoperative course was uneventful with induction therapy with monoclonal antibody against interleukin 2 receptor and standard triple immunosuppressive therapy consisting of corticosteroid, mycophenolat mofetil and tacrolimus. One year after the transplantation, the patient has a good functioning kidney transplant without any surgical or immunological complications. Conclusively, pre-emptive kidney transplantation is an effective treatment for patients with end- stage renal disease and it should be recommended to all patients where this type of treatment is possible.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA