Produktbild: Contemporary Kidney Transplantation

Contemporary Kidney Transplantation

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Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

12.07.2018

Abbildungen

XVII, 103 illus., 74 illus. in color., farbige Illustrationen, schwarz-weiss Illustrationen

Herausgeber

Carlo Gerardo B. Ramirez + weitere

Verlag

Springer

Seitenzahl

437

Maße (L/B/H)

26/18.3/2.9 cm

Gewicht

1151 g

Auflage

1st ed. 2018

Sprache

Englisch

ISBN

978-3-319-19616-9

Beschreibung

Portrait

Carlo Gerardo Ramirez, MD, FACS Jefferson University Physician Academic Title: Associate Professor Director, Lankenau Kidney Transplant Program Dr. Ramirez has vast experience in kidney and liver transplant surgery. He earned his medical degree at the University of Philippines and completed his internship and residency at Philippines General Hospital. Dr. Ramirez completed a fellowship at the University of Pittsburgh Medical Center, where he received extensive training in adult and pediatric abdominal transplant surgery at the Thomas Starzl Transplantation Institute. An associate professor at Jefferson Medical College, he has authored more than 90 articles and abstracts on transplantation and serves as Director of the Transplant Fellowship Program at Thomas Jefferson University. Dr. Ramirez is a Fellow of the American College of Surgeons and a member of the Association for Academic Surgery, the Philadelphia Academy of Surgery, the Society of University Surgeons, the American Society ofTransplant Surgeons, the International Liver Transplant Society, the Transplantation Society and the American Society of Transplantation.

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

12.07.2018

Abbildungen

XVII, 103 illus., 74 illus. in color., farbige Illustrationen, schwarz-weiss Illustrationen

Herausgeber

Verlag

Springer

Seitenzahl

437

Maße (L/B/H)

26/18.3/2.9 cm

Gewicht

1151 g

Auflage

1st ed. 2018

Sprache

Englisch

ISBN

978-3-319-19616-9

Herstelleradresse

Springer-Verlag KG
Sachsenplatz 4-6
1201 Wien
AT

Email: GPSR Kontakt

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  • Produktbild: Contemporary Kidney Transplantation
  • Section 1.  History of kidney transplantation     

    Section 2. Recipient Selection       

    1. Indications and contraindications
    2. Evaluation and selection
    3. Special considerations in highly sensitized candidates
    4. Waitlist maintenance

    Section 3. Donor Selection

    1. Living donor
    a. Evaluation
    b. Selection
    2. Deceased donor
    a. History of brain death and donation after cardiac death donors
    b. Evaluation and management
    c. Selection
    i. Heart beating deceased donors
    1. Standard criteria donors
    2. Extended criteria donors
    ii. Donation after cardiac death
    iii. Specific donor issues and considerations
    1. HBsAg, HBcAb+,  HCV donors
    2. CDC high risk donors
    3. Donors on ECMO

    Section 4. Surgical Technique

    1. Organ preservation and preparation Surgeon
    a. History
    b. Organ preservation solutions
    c. Kidney graft biopsy findings
    d. Static storage versus machine perfusion pump
    i. Machine perfusion eq

    uipment 
    ii. Pump parameters
    e. Kidney graft back table preparation
    i. Short renal vein
    ii. Multiple arteries or veins
    iii. Other anatomic variants

    2. Recipient kidney transplantation surgical technique   
    a. The standard tec

    hnique     
    b. Technical considerations in recipients with extensive atherosclerosis 
    i. Endarterectomy
    ii. Renal artery onto vascular grafts
    c. Venous sclerosis and alternate locations
    d. Urinary tract anomalies (neurogenic bladder)
    e. Special considerations: Robotic recipient kidney transplantation

    3. Live donor nephrectomy
    a. History and important trends.
    b. Open donor nephrectomy.
    i.  Operative Technique
    ii. Common complications
    c. Laparoscopic donor nephrectomy
    i. Operative Techniques
    ii. Common complications
    d. Robotic laparoscopic donor nephrectomy, SILS, and alternate extractions site laparoscopic donor nephrectomy
    4. Kidney Transplantation with other organs.
    a. S

    pecial technical concerns---Pancreas kidney transplantation
    b. Others: liver, heart, small bowel

    Section 4.  Anesthesia Management

    Section 5.  Organ Procurement Organization and New Kidney Allocation

    1. History and rationale for the change. 
    2. Recent changes and what they will mean.
    a. Reliance on the Kidney Donor Profile Index (KDPI) Score for allocation over the current definitions such as age<35(peds); ECD, DCD, SCD.
    b. Consideration for top 20% adult post-transplant survival candidates   Estimated Post Transplant survival (EPTS≤20%) for 20% or bet

    ter KDP

    I kidneys.
    c. Sensitization addressed in stratified fashion with special measures for the super sensitized—regional 99%, national 100%.
    d. Simultaneous local and regional allocation of kidneys with KDPI >85%
    e. Improved access for Blood type B candidates using A2 and A2B donors.
    f. Elimination of Payback system.
    g. Waiting time includes prior time on dialysis.
    h. Elimination of other OPO specific variances.
    i. Defining Living Donors by procurement not transplant.
    3. Allocation policies in EU, UK, and other countries
    Section 6.  Geographic Variations in Kidney Access- Final Rule Wida (UNOS)
     
    Section 7. Vulnerable Populations

    Section 8. Special Consideration in Living Donor Kidney Transplantation
    1. Necessary components of a living donor team.
    a. History
    b. Team components- surgeons, social workers, independent donor advocate.
    c. When living donors are taken advantage---stories from the US and elsewhere.
    2. Living kidney donor paired exchanges
    a. History
    b. Exchange systems and algorithms behind their operation.
    c. Benefits and potential pitfalls.
    i. Loss of the medical out
    ii. Legal implications

    Section 9.  Early and Late Course after Kidney Transplantation

    1. Early complications after kidney transplantation
    d. Technical
    i. Vascular
    ii. Urinary

    iii. W

    ound problemsiv. Lymphocele formation
    e. Medical
    v. Rejection
    vi. Infection
    vii. Cardio-vascular events
    viii. Disease recurrence
    2. Late complications after kidney transplantation

    Section 10.  Immunology of Kidney Transplantation

    Section 11. Pathology of Kidney Transplantation

    Section 12. Radiology of Kidney Transplantation
    1. Radiology in kidney transplantation
    2. The role of Interventional radiology

    Section 13. Transplant Immunosuppression
    1. History of immunosuppression: an overview
    a. History of immunosuppression specific to drug development
    b. Specific Drugs
    i. Induction therapy---principals and various agents
    ii. Maintenance therapy- principals and various agents
    iii. Newer or more rarely used agents.
    2. Special consideration
    f. Hepatitis C
    g. HIV

    Section 14. Tolerance: The Holy grail of Transplantation

    Section 15. Infection in Kidney Transplanation.

    Section 16.  The Contemporary Successful Ki

    dney Transplant Program
    1. The Regulatory Environment
    a. UNOS
    b. CMS
    c. JCHO
    d. Insurance
    2. Quality measure of a contemporary kidney transplant program
    3. The role of transplant coordinators
    4. The finance of kidney transplantation
    5. Kidney transplantation in the third millennium in North Ame

    rica: the strategy fo

    r success
    6. Legal issues of transplant programs in North America in the third millennium (HCV transmission at UPMC, HIV , live donor deaths, etc.)

    Section 17. Epidemiology of Kidney Transplantation

    Section 18. Ethics of Transplantation  
    1. History- transplant as a driver of ethics
    2. Principles3. Special cases 

    Section 19. Psychosocial and financial Aspects of Transplantation   

    Section 20. Pediatric Transplantation

    Section 21, Special Topics
    1. Pregnancy after Kidney Transplantation
    2. Future Directions:
    a. The artificial Kidney versus the xenograft that can avoid humoral rejection.

    b. Prevention—Will the epidemiology of kidney failure change.