[Renal transplantation: Procedure and early follow-up]

Nephrol Ther. 2019 Nov;15(6):469-484. doi: 10.1016/j.nephro.2019.09.001. Epub 2019 Oct 19.
[Article in French]

Abstract

More than fifty years after the success of the two first renal transplantations in Boston and in Necker hospital in Paris, renal transplantation became the treatment of choice of end stage renal failure, because it improves not only the quality of life of the patients but also their long-term survival. In France, more than 3,700 kidney transplantations are performed every year and more than 40,000 patients are living with a functioning kidney allograft. This treatment of end stage renal disease requires a fine-tuned pre-transplant evaluation and a multidisciplinary post-transplant care in order to prevent, to detect and to treat comorbidities and complications of immunosuppression. The ambition of this manuscript is not to describe in an exhaustive way all the aspects of renal transplantation but starting from the experience of a team, recently published data, and national and international guidelines, to try to provide a synthetic and chronological view of the early post-transplant monitoring.

Keywords: Guidelines; Kidney transplantation; Management; Modalités; Monitoring; Recommandations; Surveillance; Transplantation rénale.

MeSH terms

  • Aftercare
  • Biopsy / methods
  • Contraindications, Procedure
  • Delayed Graft Function
  • Follow-Up Studies
  • Glomerular Filtration Rate
  • Graft Rejection / prevention & control
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Informed Consent
  • Kidney / pathology
  • Kidney Failure, Chronic / surgery
  • Kidney Transplantation* / methods
  • Postoperative Complications
  • Practice Guidelines as Topic
  • Preoperative Care
  • Tissue Donors
  • Tissue and Organ Procurement
  • Transplants / pathology

Substances

  • Immunosuppressive Agents