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      Successful cadaveric kidney transplantation in an extended-hours hemodialysis patient with long-term hemodialysis vintage for 297 months

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          Abstract

          The patient was a 41-year-old male who had been maintained on extended-hours hemodialysis for 297 months. Despite of long-term hemodialysis vintage, he had no vascular calcification and ectopic calcification. His kidney graft did not experience rejection or other complications 18 months after the cadaveric kidney transplant. Previous reports indicated that graft survival of extended-hours hemodialysis patients did not differ from conventional hemodialysis. However, the dialysis periods in these reports were much shorter than our case. Therefore, extended-hours hemodialysis in long-term dialysis patients may improve renal transplant outcomes in the countries where the waiting time for kidney transplant is long.

          Highlights

          • •

            We succeeded in kidney transplantation of extended-hours hemodialysis patient with long-term hemodialysis vintage.

          • •

            Long-term hemodialysis vintage is known to cause vascular calcification and to decrease graft survival.

          • •

            Extended-hours hemodialysis in long-term dialysis patients may improve renal transplant outcome.

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          Longer dialysis session length is associated with better intermediate outcomes and survival among patients on in-center three times per week hemodialysis: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS).

          Francesca Tentori, Jinyao Zhang, Yun Li … (2012)
          Longer dialysis session length (treatment time, TT) has been associated with better survival among hemodialysis (HD) patients. The impact of TT on clinical markers that may contribute to this survival advantage is not well known.
          Article 0 comments Cited 45 times – based on 0 reviews     Review now
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            Duration of end-stage renal disease and kidney transplant outcome.

            Jackie K. Cheung, David B Baird, Alex Goldfarb … (2004)
            Patients nearing end-stage renal disease (ESRD) increasingly choose pre-emptive renal transplant (PRT) to avoid pre-transplant dialysis and to minimize ESRD. Compared with long-term dialysis, PRT has been shown to increase allograft survival. However, the merit of short-term dialysis is not well characterized, and it may be the better medical choice in some patients. The goal of the study was to characterize the relationship between the duration of dialysis vs allograft and patient survival. We performed a retrospective nationwide cohort study of all kidney transplants (Tx) between January 1, 1990 and December 31, 1999, with a follow-up period through December 31, 2000. Participants were identified using the United States Renal Data System (USRDS), which tracks all ESRD cases in the nation including patients on dialysis and with kidney Tx. Patients with the history of more than one kidney Tx were excluded. Allograft survival and recipient survival were the primary outcomes of this study. Duration of ESRD as a continuous variable as well as divided into categories (14 days, 15-60 days, 61-180 days, 181-365 days, 1-2 years, 2-3 years, 3-5 years and >5 years) was the primary risk factor of interest. Models were adjusted for multiple donor and recipient factors, including demographics and co-morbidities, as well as for Tx procedure characteristics. A total of 81,130 patient records were used for analysis (age 44.1+/-14.3 years, 61% males, 24% black, 29% diabetic, pre-transplant ESRD duration 27.1+/-26.4 months, 26% living donors). ESRD duration, as a continuous variable, is associated with a modest increase in the risk of graft failure over time [hazard ratio (HR) 1.02 per year of ESRD duration, P or =181 days. The duration of ESRD was a significant risk for recipient death (HR 1.04 per year, P or =1 year. This study of USRDS records suggests that a short (<6 months) dialysis course has no detrimental effect on graft and patient survival, and should not be deferred if medically indicated.
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              Review of clinical outcomes in nocturnal haemodialysis patients after renal transplantation.

              Brendan McCormick, Andreas Pierratos, Stanley S.A. Fenton … (2004)
              Nocturnal haemodialysis (NHD) is a novel form of haemodialysis therapy that is associated with improved blood pressure control when compared to conventional haemodialysis (CHD). Current studies suggest that NHD lowers blood pressure through a decrease in peripheral resistance. The graft and blood pressure outcomes of NHD patients who undergo renal transplantation are unknown.
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                Author and article information

                Contributors
                Tomotaka Yamazaki
                Hiroyuki Shirai
                Jun Yashima
                Tamotsu Tojimbara
                Journal
                Journal ID (nlm-ta): Urol Case Rep
                Journal ID (iso-abbrev): Urol Case Rep
                Title: Urology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2214-4420
                Publication date PMC-release: 21 February 2020
                Publication date Collection: May 2020
                Publication date (Electronic): 21 February 2020
                Volume: 30
                Electronic Location Identifier: 101139
                Affiliations
                [1]Department of Transplant Surgery, Atami Hospital, International University of Health and Welfare, 13-1, Higashikaigancho, Atami, Shizuoka, 413-0012, Japan
                Author notes
                [∗ ]Corresponding author. yamazakito-int@ 123456h.u-tokyo.ac.jp
                Article
                Publisher ID: S2214-4420(20)30027-9 Publisher ID: 101139
                DOI: 10.1016/j.eucr.2020.101139
                PMC ID: 7047016
                SO-VID: c12a6bd9-fbd6-4203-beef-c1b440dabd04
                Copyright © © 2020 The Author(s)
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 18 January 2020
                Date accepted : 18 February 2020
                Categories
                Subject: Trauma and Reconstruction

                Keywords: kidney transplant,extended-hours hemodialysis,graft survival,cadaveric,vascular calcification
                Data availability:
                Keywords: kidney transplant, extended-hours hemodialysis, graft survival, cadaveric, vascular calcification

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