Transplant Renal Artery Stenosis

Adriano H. P. Barbosa

Solange Regina Generozo

Retrospective Study of Patients Undergoing Percutaneous Intervention of the Transplant Renal Artery Stenosis

Retrospective Study of Patients Undergoing Percutaneous Intervention of the Transplant Renal Artery Stenosis (TRAS Study)

overall mortality rate at the end of follow-up

graft failure rate at the end of follow-up

systolic and diastolic pressure measurement in mmHg at 01 month and 01 year

glomerular rate at 01 month and 01 year in mL/min/1,73 m2

Adriano Henrique Pereira Barbosa

Principal Investigator

Hemodialysis Complication

Hemodialysis

Saint-Georges Hospital

Twice Against Thrice-weekly Hemodialysis

Twice-Against Thrice-weekly Hemodialysis: the TATH Trial

Rate of supplementary hemodialysis sessions for pulmonary oedema or hyperkalemia

Rate of uncontrolled hypertension, Uncontrolled hypertension is defined as a pre-dialysis BP > 160/90 in more than 2/3 of the sessions.

Mabel Aoun

Dr Mabel Aoun. Head of the Department of Nephrology, Saint-Georges Hospital Ajaltoun

Saint-Joseph University

Patients with absolute contraindication to the PD method - presence of recent abdominal surgery (less than 30 days); multiple previous abdominal surgery (more than two); presence of fibrosis or peritoneal adhesions; fungal peritonitis; severe respiratory insufficiency (FiO2> 70%); abdominal infections; severe hyperkalemia with changes characteristic in EKG; and acute pulmonary edema - will be treated with HD.

Patients stage 5 (creatinine clearance < 15 ml/min) requiring dialysis treatment immediately without absolute contraindication to the PD method will receive unplanned PD treatment. High volume PD (HVPD) will be used during the first 7 days of PD in order to achieve metabolic and fluid control. The procedure for acute PD has been published recently by our team . At this point, patients will be discharged from hospital and they will be treated by intermitent PD at the dialysis unit of the University Hospital.until their family be trained and home be prepared for the implementation of technique.

Disorders Associated With Peritoneal Dialysis

Patients with absolute contraindication to the PD method will be treated with HD. HD will be performed after implantation of central venous catheter using Seldinger technique by nephrology team.

HD treatment

Patients without absolute contraindication to the PD method will be treated with PD. PD will be performed after implantation of peritoneal catheter using Seldinger technique by nephrology team.

PD treatment

Paulista State University "Júlio de Mesquita Filho"

Peritoneal Dialysis as an Option of Unplanned Initiation of Chronic Dialysis

The main objective of this study is to compare patients survival on unplanned PD vs. unplanned HD in the first 180 days of therapy

To compare rates of hospitalization (%) between unplanned HD vs. unplanned PD

To compare mechanical complications (%) between unplanned HD vs. unplanned PD

To compare infectious complicatios (%) between unplanned HD vs. unplanned PD

To evaluate the impact on growing of PD chronic program (%)

arteriovenous fistula/edema

Retrospective Study of Patients Undergoing Percutaneous Intervention of the Transplant Renal Artery Stenosis

Twice Against Thrice-weekly Hemodialysis

Peritoneal Dialysis as an Option of Unplanned Initiation of Chronic Dialysis

Electro Stethoscope in Detect Arteriovenous Fistula (AVF) Stenosis

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