II. Complications

  1. Renal Failure
    1. Primary disease that resulted in original Renal Failure may still be active and result in recurrent Renal Failure
    2. Even small changes (esp. children) can be significant (consult transplant team)
  2. Urinary Tract Infections
    1. Common in both men and women
    2. Admit all suspected Pyelonephritis cases on IV Antibiotics
  3. Nephrotoxicity
    1. Avoid all Nephrotoxins
    2. Immunosuppressants (esp. Calcineurin Inhibitors) are nephrototoxic
      1. Compounded by Drug Interactions (review new medications with pharmacist or transplant team)
  4. Transplant Rejection
    1. Consult transplant team before initiating Corticosteroids

III. References

  1. Claudius, Ruttan and DeFabio (2022) EM:Rap 22(11): 13-5

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Ontology: Kidney Transplantation (C0022671)

Definition (MEDLINEPLUS)

A kidney transplant is an operation that places a healthy kidney in your body. The transplanted kidney takes over the work of the two kidneys that failed, so you no longer need dialysis.

During a transplant, the surgeon places the new kidney in your lower abdomen and connects the artery and vein of the new kidney to your artery and vein. Often, the new kidney will start making urine as soon as your blood starts flowing through it. But sometimes it takes a few weeks to start working.

Many transplanted kidneys come from donors who have died. Some come from a living family member. The wait for a new kidney can be long.

If you have a transplant, you must take drugs for the rest of your life, to keep your body from rejecting the new kidney.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Definition (NCI) The transfer of a healthy kidney from a donor to a patient for the purpose of replacing one of the failing kidneys of the patient.
Definition (MSH) The transference of a kidney from one human or animal to another.
Definition (CSP) transference of a kidney within an individual, between individuals of the same species, or between individuals of different species.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D016030
ICD9 55.6
ICD10 1057 , 36503-00
SnomedCT 175904004, 149586006, 70536003
CPT 1008098
English Grafting, Kidney, Kidney Transplantations, Renal Transplantation, Renal Transplantations, Transplantation, Kidney, Transplantation, Renal, Transplantations, Kidney, Transplantations, Renal, Transplantation of kidney NOS, KIDNEY TRANSPL, RENAL TRANSPL, TRANSPL RENAL, TRANSPL KIDNEY, renal transplantation, renal transplant, renal transplant (treatment), Kidney Transplant, Kidney Grafting, Renal transplantation, kidneys transplants, kidneys transplant, renal graft, kidney transplants, renal transplants, kidney transplant, kidney transplant procedure, kidney transplantation procedure, Transplantation of kidney NOS (procedure), Renal transplant (procedure), Renal Transplantation Procedures, Kidneys--Transplantation, Kidney transplantation, Transplant of kidney, Kidney transplant, Renal graft, Renal transplant, Transplantation of kidney, Tx - Kidney transplantation, Tx - Renal transplantation, Transplant of kidney (procedure), kidney transplantation, Transplant of kidney, NOS, Kidney transplantation, NOS, Renal transplant, NOS, Kidney Transplants, Kidney Transplantation, Transplant;renal
French Greffe de rein, Transplantation rénale, Greffe rénale (procédure), Greffe du rein, Greffe de rein (procédure), Transplantation du rein, Greffe rénale
Portuguese Transplante renal, Transplante de rim, Enxerto de Rim, Transplante de Rim, Transplante Renal, Transplantação Renal, Transplantação de Rim
Spanish Trasplante de riñón, Injerto de Riñón, Trasplantación de Riñón, trasplante renal, SAI, trasplante de riñón, SAI, trasplante de riñón, SAI (procedimiento), trasplante de riñón (procedimiento), trasplante de riñón, trasplante renal, Trasplante renal, Trasplantación Renal, Trasplante Renal, Trasplante de Riñón
Swedish Njurtransplantation
Japanese ジンイショク, 移植-腎, 腎臓移植, 腎移植, 移植-腎臓
Finnish Munuaisensiirto
Russian POCHECHNAIA TRANSPLANTATSIIA, POCHEK TRANSPLANTATSIIA, PERESADKA POCHKI, TRANSPLANTATSIIA POCHECHNAIA, TRANSPLANTATSIIA POCHKI, ПЕРЕСАДКА ПОЧКИ, ПОЧЕК ТРАНСПЛАНТАЦИЯ, ПОЧЕЧНАЯ ТРАНСПЛАНТАЦИЯ, ТРАНСПЛАНТАЦИЯ ПОЧЕЧНАЯ, ТРАНСПЛАНТАЦИЯ ПОЧКИ
Czech Transplantace ledviny, Renální transplantace, ledviny - transplantace, transplantace ledvin, renální transplantace
Croatian BUBREG, TRANSPLANTACIJA
Polish Przeszczepianie nerki, Transplantacja nerki, Przeszczepienie nerki, Przeszczep nerki
Hungarian Vesetranszplantáció
Norwegian Renal transplantasjon, Transplantasjon, nyre, Nyretransplantasjon
Italian Trapianto di rene, Trapianto renale
Dutch niertransplantaat, Niertransplantatie, Transplantatie, nier-
German Nierentransplantation, Nierenverpflanzung, Renale Transplantation, Transplantation, Nieren-, Transplantation, renale, Verpflanzung, Niere, Nierenübertragung