Protecting the Kidney in Liver Transplant Recipients: Practice-Based Recommendations From the American Society of Transplantation Liver and Intestine Community of Practice.
Protecting the Kidney in Liver Transplant Recipients: Practice-Based Recommendations From the American Society of Transplantation Liver and Intestine Community of Practice.
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DOI：
10.1111/ajt.13765
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Niemann CU
中科院分区：
文献类型：
--
作者：
Levitsky J;O'Leary JG;Asrani S;Sharma P;Fung J;Wiseman A;Niemann CU
Acute and chronic kidney disease after liver transplantation is common and results in significant morbidity and mortality. The introduction of MELD has directly correlated with an increased prevalence of perioperative renal dysfunction and the number of simultaneous liver-kidney transplants performed. Thus, kidney dysfunction in this population is typically multifactorial and related to pre-existing conditions, pre-transplant renal injury, peri-operative events, and post-transplant nephrotoxic immunosuppressive therapies. The management of kidney disease following liver transplantation is challenging, as by the time the serum creatinine is significantly elevated, few interventions impact the course of progression. Also, immunological factors such as antibody-mediated rejection have become of greater interest given the rising liver-kidney transplant population. Therefore this review, assembled by experts in the field and endorsed by the American Society of Transplantation Liver and Intestinal Community of Practice, provides a critical assessment of measures of renal function and interventions aimed at preserving renal function early and late after liver and simultaneous liver-kidney transplantation. Key points and practice-based recommendations for the prevention and management of kidney injury in this population are provided to offer guidance for clinicians and identify gaps in knowledge for future investigations.
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影响因子：
8.8
作者：
Boudjema, K.;Camus, C.;Bellissant, E.
通讯作者：
Bellissant, E.
影响因子：
19.6
作者：
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影响因子：
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作者：
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Srinivas, Titte R.
DOI：
10.1111/j.1600-6143.2012.04212.x
发表时间：
2012-11
期刊：
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子：
--
作者：
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通讯作者：
H2304 Study Group
DOI：
10.2215/cjn.09430913
发表时间：
2014-11-01
影响因子：
9.8
作者：
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通讯作者：
Parikh, Chirag R.