000 | 02904na a2200325 4500 | ||
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_c12323 _d12323 |
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003 | PC12323 | ||
005 | 20180417105942.0 | ||
008 | 130622s2013 xxx||||| |||| 00| 0 eng d | ||
040 | _cH12O | ||
041 | _aeng | ||
100 |
_aGuerrero Ramos, Félix _92375 _eUrología |
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100 |
_aRodríguez Antolín, Alfredo _91692 _eUrología |
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_aPassas Martínez, Juan _91929 _eUrología |
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100 |
_aTejido Sánchez, Ángel _9484 _eUrología |
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100 |
_aAndrés Belmonte, Amado _91321 _eNefrología |
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100 |
_aCavero Escribano, Teresa _92384 _eNefrología |
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245 | 0 | 0 |
_aPerigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role?. _h[artículo] |
260 |
_bCentral European Journal of Urology, _c2017 |
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300 | _a70(4):439-444. | ||
500 | _aFormato Vancouver: Guerrero-Ramos F, Cavero-Escribano T, Rodríguez-Antolín A, Andrés-Belmonte A, Passas-Martínez J, Tejido-Sánchez Á. Perigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role? Cent European J Urol. 2017;70(4):439-444. | ||
501 | _aPMID: 29410900 | ||
504 | _aContiene 24 referencias | ||
520 | _aIntroduction: Perigraft fluid collection (PFC) is a common complication after kidney transplant. Its etiology is not clear and not all the causes have been identified. The influence of the type of donor has never been evaluated. Our aim was to compare the incidence, severity and management of PFC in recipients of grafts from uncontrolled donors after circulatory death (DCD) with normothermic extracorporeal membrane oxygenation (NECMO) versus recipients of grafts from donors after brain death (DBD). Material and methods: We conducted a retrospective cohort study of 300 kidney transplants performed in our center between 2007 and 2012. Patients were divided in two groups: 150 recipients of Maastricht II DCD graft and 150 recipients of the DBD graft. Incidence, severity according to Clavien scale and management were analyzed in both groups, and comparison was carried out using Chi-square. Results: Of the 300 kidney recipients analyzed, 93 (31.4%) suffered PFC, showing no difference between DBD (32.0%) and DCD (30.8%) groups (p = 0.9). Complicated PFC rate (defined as a PFC generating vascular compression, fever or urinary tract obstruction) was 22.9% in the DBD group versus 22.2% in the DCD group (p = 1); most complicated PFC were due to urinary tract obstruction (81%), with no difference between the groups (p = 1). Concerning Clavien scale, 78.5% of the PFC in our series were Clavien I, 19.4% Clavien IIIa and 2.2% Clavien IIIb, with no difference between both groups (p = 1). Conclusions: PFC is a frequent complication that appears in a third of our patients, showing no difference in the incidence or severity between DBD and uncontrolled DCD graft recipients. | ||
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_9220 _aServicio de Urología |
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_986 _aServicio de Nefrología |
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_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc12323.pdf _ySolicitar documento |
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_n0 _2ddc _cART |