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Index
Cover image
Title page
Table of Contents
Copyright
Video Table of Contents
Preface to the First Edition
Preface to the Seventh Edition
List of Contributors
Chapter 1: Kidney Transplantation: A History
EARLY EXPERIMENTS
HUMAN KIDNEY TRANSPLANTS
THE MIDDLE YEARS
POST WORLD WAR II
IMMUNOSUPPRESSION AND THE MODERN ERA
CHEMICAL IMMUNOSUPPRESSION
A TIME OF OPTIMISM
TISSUE TYPING
THE 1970s PLATEAU
WAITING FOR XENOGRAFTS
CONCLUSION
Chapter 2: Immunology of Graft Rejection
INITIATION OF ALLOIMMUNITY BY THE INNATE IMMUNE SYSTEM
STIMULATION OF ADAPTIVE ALLOIMMUNITY
ACTIVATION OF CELLULAR IMMUNITY
MECHANISMS OF GRAFT INJURY
SUMMARY
Chapter 3: Chronic Kidney Failure: Renal Replacement Therapy
INTRODUCTION
DEFINITION AND TIMING REFERRAL
PREVALENCE AND INCIDENCE
ETIOLOGY
TREATMENT OF CKD5
CHOICE AND PLANNING FOR THE INDIVIDUAL PATIENT
DIALYSIS POSTTRANSPLANT
RETURN TO DIALYSIS AFTER TRANSPLANT FAILURE
RRT MODALITY AND SURVIVAL
QUALITY OF LIFE
Chapter 4: The Recipient of a Kidney Transplant
THE PATIENT WITH CHRONIC KIDNEY DISEASE
GENERAL CONCEPTS
COUNSELING
SPECIFIC MEDICAL CONSIDERATIONS
PREPARATION FOR TRANSPLANTATION
Chapter 5: Access for Renal Replacement Therapy
INTRODUCTION
VASCULAR ACCESS CATHETERS
FISTULAS AND SYNTHETIC GRAFTS
PERITONEAL DIALYSIS
RENAL TRANSPLANT ISSUES WITH PERITONEAL DIALYSIS
CONCLUSION
Chapter 6: Brain Death and Cardiac Death: Donor Criteria and Care of Deceased Donor
INTRODUCTION
BRAIN DEATH
CARDIAC DEATH
DONOR MANAGEMENT
OTHER TOPICS IN DONOR MANAGEMENT
CONCLUSION
Chapter 7: Medical Evaluation of the Living Donor
INTRODUCTION
HISTORICAL PERSPECTIVE AND CURRENT STATUS
RATIONALE FOR LIVE KIDNEY DONATION
RISKS OF LIVE KIDNEY DONATION
THE EVALUATION PROCESS
SUMMARY
Chapter 8: Donor Nephrectomy
DECEASED DONOR NEPHRECTOMY
DONATION AFTER BRAIN DEATH
DONATION AFTER CARDIAC DEATH
LIVING DONOR NEPHRECTOMY
ANESTHETIC MANAGEMENT
OPEN DONOR NEPHRECTOMY
LAPAROSCOPIC DONOR NEPHRECTOMY
RIGHT DONOR NEPHRECTOMY
SINGLE-PORT DONOR NEPHRECTOMY
ROBOTIC DONOR NEPHRECTOMY
COMPLICATIONS
SUMMARY
Chapter 9: Kidney Preservation
TOWARDS “TAILORED” PRESERVATION STRATEGIES
PRINCIPLES OF COLD STORAGE PRESERVATION
COMPOSITION OF CLINICALLY USED SOLUTIONS
HYPOTHERMIC MACHINE PERFUSION REVISITED
NORMOTHERMIC PERFUSION
FUTURE OUTLOOK
Chapter 10: Histocompatibility in Kidney Transplantation
HISTORICAL BACKGROUND
THE HLA SYSTEM
HLA MATCHING
HLA-SPECIFIC ALLOSENSITIZATION
DONOR CROSSMATCH
STRATEGIES FOR TRANSPLANTING SENSITIZED AND HIGHLY SENSITIZED PATIENTS
POSTTRANSPLANT MONITORING
CONCLUDING REMARKS
Chapter 11: Surgical Techniques of Kidney Transplantation
PREPARATION OF RECIPIENT
SITE
INCISION
PREPARATION OF OPERATIVE BED
PREPARATION OF KIDNEY
REVASCULARIZATION
RECONSTRUCTION OF THE URINARY TRACT
CLOSURE
PEDIATRIC RECIPIENT
PEDIATRIC DONOR
DOUBLE KIDNEY TRANSPLANT
TRANSPLANT NEPHRECTOMY
Chapter 12: Transplantation and the Abnormal Bladder
ASSESSMENT OF BLADDER FUNCTION
GENERAL CONCEPTS OF MANAGEMENT OF BLADDER DYSFUNCTION
CONCLUSION
Chapter 13: Perioperative Care of Patients Undergoing Kidney Transplantation
COMORBIDITIES IN END-STAGE RENAL DISEASE
PREOPERATIVE CONSIDERATIONS
INTRAOPERATIVE CONSIDERATIONS
POSTOPERATIVE CARE
ANESTHESIA FOR PATIENTS AFTER KIDNEY TRANSPLANTATION
KIDNEY–PANCREAS TRANSPLANTATION
Chapter 14: Early Course of the Patient with a Kidney Transplant
OVERVIEW
SURGICAL COMPLICATIONS
REJECTION DURING THE EARLY POSTOPERATIVE PERIOD
MEDICAL COMPLICATIONS
SUMMARY
Chapter 15: Azathioprine
INTRODUCTION
MECHANISM OF ACTION
DOSAGE
SIDE EFFECTS
MONITORING OF AZATHIOPRINE THERAPY
AZATHIOPRINE AND MYCOPHENOLATE MOFETIL
CYCLOSPORINE CONVERSION TO AZATHIOPRINE
AZATHIOPRINE CONVERSION TO MYCOPHENOLATE MOFETIL
TACROLIMUS AND AZATHIOPRINE
CONCLUSION
Chapter 16: Steroids
INTRODUCTION
MECHANISM OF ACTION
STEROID RESISTANCE
DOSAGE
TREATMENT OF ACUTE REJECTION
SIDE EFFECTS
STEROID WITHDRAWAL AND AVOIDANCE
CONCLUSIONS
Chapter 17: Calcineurin Inhibitors
MECHANISM OF ACTION
PHARMACOKINETIC PROPERTIES
PHARMACOGENETICS
ABSORPTION AND DISTRIBUTION
METABOLISM AND ELIMINATION
SPECIAL PATIENT POPULATIONS
CLINICAL STUDIES IN KIDNEY TRANSPLANTATION
CLINICAL STUDIES IN KIDNEY–PANCREAS TRANSPLANTATION (SEE CHAPTER 36)
SIDE EFFECTS AND TOLERABILITY OF CALCINEURIN INHIBITORS
CONCLUSION
Chapter 18: Mycophenolates
INTRODUCTION
HISTORY OF MYCOPHENOLATES
MECHANISM OF ACTION
CLINICAL PHARMACOLOGY AND BLOOD MONITORING
CLINICAL TOXICITIES
EARLY CLINICAL TRIALS OF MYCOPHENOLATES IN KIDNEY TRANSPLANTATION
COMBINATION THERAPY UTILIZING MMF IN KIDNEY TRANSPLANTATION
USE OF MYCOPHENOLATES TO MINIMIZE OR AVOID OTHER IMMUNOSUPPRESSANTS
THERAPEUTIC DRUG MONITORING
Chapter 19: mTor Inhibitors: Sirolimus and Everolimus
DISCOVERY
MECHANISM OF ACTION
PHARMACOKINETICS
THERAPEUTIC BLOOD MONITORING
PHARMACOGENETICS
DRUG INTERACTIONS
USE OF mTOR INHIBITORS
mTOR INHIBITORS AND MALIGNANCY
SAFETY AND SIDE EFFECTS OF mTOR INHIBITORS
CONCENTRATION-CONTROLLED DOSING
SUMMARY AND CONCLUSIONS
Chapter 20: Antilymphocyte Globulin, Monoclonal Antibodies, and Fusion Proteins
HISTORICAL PERSPECTIVE
ANTIBODY STRUCTURE AND FUNCTION
GENERAL CLINICAL CONSIDERATIONS FOR THE USE OF ANTIBODY PREPARATIONS
POLYCLONAL ANTIBODY PREPARATIONS
SPECIFIC CLINICAL APPLICATIONS OF POLYCLONAL ANTIBODY PREPARATIONS
MONOCLONAL ANTIBODY PREPARATIONS
MONOCLONAL ANTIBODIES IN CURRENT CLINICAL TRANSPLANTATION PRACTICE
FUSION PROTEINS
CONCLUSION
Chapter 21: Belatacept
INTRODUCTION: TWO SIGNALS
COSTIMULATORY PATHWAYS
COSTIMULATION BLOCKADE
CLINICAL APPLICATION OF BELATACEPT
CONCLUSIONS
Chapter 22: Other Forms of Immunosuppression
SMALL MOLECULES
TOTAL LYMPHOID IRRADIATION
PHOTOPHERESIS
SPLENECTOMY
PLASMAPHERESIS
Chapter 23: Approaches to the Induction of Tolerance
INTRODUCTION
UNDERSTANDING THE IMMUNOLOGIC MECHANISMS BEHIND TOLERANCE INDUCTION
STRATEGIES WITH THE POTENTIAL TO INDUCE IMMUNOLOGIC TOLERANCE TO AN ALLOGRAFT
LEUKOCYTE DEPLETION AT THE TIME OF TRANSPLANTATION
CELL THERAPY
Chapter 24: Transplantation in the Sensitized Recipient and Across ABO Blood Groups
SENSITIZED PATIENTS
ALLOANTIBODY DETECTION
IMMUNOLOGICAL RISK
CLINICAL APPROACHES TO SENSITIZED PATIENTS
CHRONIC ANTIBODY-MEDIATED INJURY
ABO-INCOMPATIBLE KIDNEY TRANSPLANTATION
MECHANISTIC VIEW OF ANTIBODY PRODUCTION AND INJURY
CONCLUSION
Chapter 25: Kidney Paired Donation Programs for Living Donors
BEGINNINGS OF KIDNEY PAIRED DONATION
THE ROLE OF HLA MATCHING
LEGAL RESTRICTIONS
ANONYMITY
DONOR TRAVEL AND ORGAN TRANSPORT
FINANCIAL ISSUES
EXPANSIONS BEYOND INCOMPATIBLE PAIRS
THE ROLE OF NON-DIRECTED DONORS
GOALS OF MATCHING
MATCHING ALGORITHMS
REGISTRY SIZE
BEYOND NATIONAL LINES
FUTURE OF KIDNEY PAIRED DONATION
Chapter 26: Pathology of Kidney Transplantation
RENAL ALLOGRAFT BIOPSY
DONOR KIDNEY BIOPSY
HYPERACUTE REJECTION
ACUTE RENAL ALLOGRAFT REJECTION
LATE GRAFT DISEASES
ACUTE TUBULAR INJURY
CALCINEURIN INHIBITOR NEPHROTOXICITY
TARGET OF RAPAMYCIN INHIBITOR TOXICITY
DRUG-INDUCED ACUTE TUBULOINTERSTITIAL NEPHRITIS
INFECTIONS
MAJOR RENAL VASCULAR DISEASE
DE NOVO GLOMERULAR DISEASE
RECURRENT RENAL DISEASE
PROTOCOL BIOPSIES
FUTURE DIRECTIONS IN BIOPSY ASSESSMENT
Chapter 27: Chronic Allograft Failure
INTRODUCTION: THE PROBLEM OF GRAFT LOSS
PATHOPHYSIOLOGY OF CHRONIC ALLOGRAFT DAMAGE
TIME COURSE OF HISTOLOGICAL DAMAGE
APPROACH TO A FAILING ALLOGRAFT
TREATMENT OF A FAILING ALLOGRAFT
SUMMARY
Chapter 28: Vascular and Lymphatic Complications after Kidney Transplantation
INTRODUCTION
TECHNICAL COMPLICATIONS AND THEIR PREVENTION
HEMATOMA
VASCULAR THROMBOSIS AND THROMBOPHILIA
TORSION
VASCULAR ACCESS THROMBOSIS
DEEP VEIN THROMBOSIS
VASCULAR CAUSES OF URETERIC COMPLICATIONS
MYCOTIC ANEURYSM
BIOPSY-RELATED VASCULAR COMPLICATIONS
TRANSPLANT RENAL ARTERY STENOSIS
LYMPHOCELE
CONCLUSIONS
Chapter 29: Urological Complications After Kidney Transplantation
URETERAL COMPLICATIONS
USE OF PROPHYLACTIC URETERAL STENTS
URINARY CALCULI IN TRANSPLANT RECIPIENTS
URINARY RETENTION
ERECTILE DYSFUNCTION
UROLOGIC MALIGNANCIES
Chapter 30: Cardiovascular Disease in Renal Transplantation
INTRODUCTION
BACKGROUND: CVD IN CKD
EPIDEMIOLOGY AND NATURE OF POSTTRANSPLANT CVD
NOVEL AND TRANSPLANT-SPECIFIC RISK FACTORS
SPECIFIC RISK FACTORS AND MANAGEMENT
HYPERTENSION AND UREMIC CARDIOMYOPATHY
OTHER SURROGATES: VASCULAR STIFFNESS AND CALCIFICATION
CHOICE OF ANTIHYPERTENSIVE AGENT
GUIDELINES AND OBSERVED PATTERNS OF USAGE
DYSLIPIDEMIA
RENAL FUNCTION
SMOKING
NEW-ONSET DIABETES AFTER TRANSPLANTATION
OBESITY AND THE METABOLIC SYNDROME
OTHER RISK FACTORS AND INTERVENTIONS
SCREENING
INTERVENTION AND SECONDARY PREVENTION
OTHER CARDIOVASCULAR CONDITIONS
PREDICTING CARDIOVASCULAR RISK
TRIAL END-POINTS
CONCLUSION
Chapter 31: Infection in Kidney Transplant Recipients
OVERVIEW
RISK OF INFECTION
TIMELINE OF INFECTION
ASSESSMENT OF INFECTIOUS DISEASES IN RECIPIENTS AND POTENTIAL DONORS BEFORE TRANSPLANTATION
SELECTED INFECTIONS OF IMPORTANCE
CONCLUSIONS
Chapter 32: Liver Disease among Renal Transplant Recipients
OVERVIEW OF INCIDENCE AND CLINICOPATHOLOGICAL ASSOCIATIONS
COMBINED LIVER AND KIDNEY DISEASES
SPECIFIC IMMUNOSUPPRESSIVE AGENTS IN RENAL TRANSPLANTATION AND HEPATOTOXICITY
HEPATITIS VIRUSES ASSOCIATED WITH RENAL TRANSPLANTATION
HEPATOCELLULAR CARCINOMA AFTER RENAL TRANSPLANTATION
SYSTEMIC INFECTIONS RESULTING IN HEPATITIS AND LIVER DISEASE
Chapter 33: Neurological Complications after Kidney Transplantation
NEUROLOGICAL DISEASE PRECEDING RENAL TRANSPLANTATION
APPROACH TO THE RENAL TRANSPLANT PATIENT WITH NEUROLOGICAL DISEASE
IMMEDIATE NEUROLOGICAL COMPLICATIONS
SUBACUTE NEUROLOGICAL COMPLICATIONS
CHRONIC NEUROLOGICAL COMPLICATIONS
SUMMARY
Chapter 34: Non-Malignant and Malignant Skin Lesions in Kidney Transplant Patients
INTRODUCTION
DRUG SIDE EFFECTS
INFECTIONS
INFLAMMATORY AND NON-INFLAMMATORY CUTANEOUS FINDINGS
PREMALIGNANT AND MALIGNANT SKIN CONDITIONS
SUMMARY
Chapter 35: Cancer in Dialysis and Kidney Transplant Patients
CANCER IN DIALYSIS PATIENTS
CANCER IN KIDNEY TRANSPLANT RECIPIENTS
TRANSPLANTATION IN PATIENTS WITH A HISTORY OF CANCER
PREVENTION AND EARLY DETECTION OF CANCER IN KIDNEY TRANSPLANT RECIPIENTS
SURVIVAL IN KIDNEY TRANSPLANT RECIPIENTS WHO DEVELOP CANCER
CONCLUSIONS
Chapter 36: Pancreas and Kidney Transplantation for Diabetic Nephropathy
HISTORY
INDICATIONS AND CATEGORIES
ALLOCATION
SPECIFIC RISK FACTORS
PROCEDURE
MANAGEMENT
PANCREAS TRANSPLANT OUTCOMES
PANCREAS RETRANSPLANTS
LIVING DONOR PANCREAS TRANSPLANTS
QUALITY-OF-LIFE STUDY
LONG-TERM QUALITY OF LIFE
METABOLIC STUDIES
STUDIES OF DIABETIC SECONDARY COMPLICATIONS
SUMMARY
Chapter 37: Renal Transplantation in Children
INTRODUCTION
EPIDEMIOLOGY OF END-STAGE RENAL DISEASE IN CHILDREN
ACCESS TO TRANSPLANTATION
TIMING OF TRANSPLANTATION
PATIENT AND GRAFT SURVIVAL
CONTRAINDICATIONS TO TRANSPLANTATION
RECURRENCE OF ORIGINAL DISEASE
PRETRANSPLANT EVALUATION
PERIOPERATIVE MANAGEMENT OF PEDIATRIC RENAL TRANSPLANT RECIPIENTS
IMMUNOSUPPRESSIVE PROTOCOLS AND DRUGS
ACUTE REJECTION IN PEDIATRIC TRANSPLANTATION
LONG-TERM MANAGEMENT POSTTRANSPLANT
Chapter 38: Kidney Transplantation in Developing Countries
PREAMBLE
END-STAGE KIDNEY DISEASE IN DEVELOPING COUNTRIES
DIALYSIS IN DEVELOPING COUNTRIES (Figure 38-6)
KIDNEY TRANSPLANTATION
TRANSPLANT ACTIVITY IN DIFFERENT DEVELOPING REGIONS OF THE WORLD
IMMUNOSUPPRESSION
TRANSPLANT OUTCOMES (Table 38-3)
POSTTRANSPLANT COMPLICATIONS
SPECIAL CONSIDERATIONS IN TRANSPLANTATION
Chapter 39: Results of Renal Transplantation
INTRODUCTION
RENAL FAILURE TREATMENTS – DIALYSIS VERSUS TRANSPLANTATION
KIDNEY DONATION
GRAFT SURVIVAL
KIDNEY-ALONE VERSUS KIDNEY–PANCREAS TRANSPLANTATION FOR DIABETES
CANCER RISK
PREGNANCY AFTER RENAL TRANSPLANTATION
RENAL TRANSPLANTATION IN HUMAN IMMUNODEFICIENCY VIRUS-POSITIVE PATIENTS
PREVALENCE OF PEOPLE LIVING WITH A FUNCTIONING KIDNEY TRANSPLANT
LONG-TERM OUTCOMES OF RENAL TRANSPLANTATION
QUALITY OF LIFE
CONCLUSION
Chapter 40: Psychological Aspects of Kidney Transplantation and Organ Donation
INTRODUCTION
QUALITY OF LIFE AND PSYCHOLOGICAL WELLBEING FOR RENAL TRANSPLANT PATIENTS
RENAL DISEASE – DIALYSIS AND PREOPERATIVE ADJUSTMENTS
HOPE OF A TRANSPLANT
IMMEDIATE POSTOPERATIVE PSYCHOLOGICAL ISSUES
IMMUNOSUPPRESSION REGIMENS AND PSYCHOLOGICAL REACTIONS
FAMILY INTERACTIONS
GRAFT FUNCTION
PSYCHOLOGICAL ASPECTS OF LIVING DONATION
LIVING UNRELATED DONORS
PRE-EMPTIVE TRANSPLANTATION
PSYCHOLOGICAL ISSUES AND IMPLICATIONS FOR PRACTICE FOR LIVING DONOR PROGRAMS
PSYCHOLOGICAL ASPECTS OF CADAVER ORGAN DONATION
CONCLUSION
Chapter 41: Ethical and Legal Aspects of Kidney Donation
INTRODUCTION
DECEASED DONOR ORGAN ALLOCATION
EXPANSION AND ENCOURAGEMENT OF LIVING KIDNEY DONATION
COMMERCIALIZATION OF ORGANS
CONCLUSION
Chapter 42: Evidence in Transplantation
INTRODUCTION
SEARCHING THE LITERATURE
RANDOMIZED CONTROLLED TRIALS
SYSTEMATIC REVIEWS
META-ANALYSIS
BIOMEDICAL/INDUSTRIAL SPONSORSHIP
CONCLUSION
Index
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