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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Kidney Transplant III: Nursing Management01:16

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Hemodialysis I: Introduction01:25

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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Related Experiment Video

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A Simplified Model for Heterotopic Heart Valve Transplantation in Rodents
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Transcatheter Aortic Valve Replacement: a Kidney's Perspective.

Wisit Cheungpasitporn1, Charat Thongprayoon2, Kianoush Kashani3

  • 1Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Journal of Renal Injury Prevention
|April 13, 2016
PubMed
Summary
This summary is machine-generated.

Transcatheter aortic valve replacement (TAVR) is a key treatment for severe aortic stenosis. Acute kidney injury (AKI) after TAVR is common and impacts survival, necessitating preventive strategies.

Keywords:
Acute Kidney InjuryChronic kidney diseaseDialysisTranscatheter aortic valve implantationTranscatheter aortic valve replacementTransplantation

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Area of Science:

  • Cardiology
  • Nephrology
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve replacement (TAVR) is an option for high-risk severe aortic stenosis patients.
  • Acute kidney injury (AKI) is a frequent complication post-TAVR, negatively affecting patient survival.
  • The incidence of TAVR procedures is rising globally.

Purpose of the Study:

  • To review current literature on the renal aspects of TAVR.
  • To highlight the incidence, pathogenesis, and prevention of AKI following TAVR.
  • To improve patient care and outcomes by understanding nephrology perspectives in TAVR.

Main Methods:

  • Comprehensive literature review of studies on TAVR and renal outcomes.
  • Analysis of multifactorial causes of AKI in TAVR patients.
  • Evaluation of preventive strategies for AKI in the TAVR population.

Main Results:

  • AKI pathogenesis is multifactorial, involving contrast agents, hypotension, and embolization.
  • Preventive measures include hydration, limited contrast exposure, and avoiding hypotension.
  • Growing body of evidence addresses renal issues like AKI, CKD, ESRD, and transplantation post-TAVR.

Conclusions:

  • AKI is a significant concern after TAVR, impacting survival.
  • Implementing preventive strategies is crucial for mitigating AKI risk.
  • Further research and understanding of nephrology aspects are vital for optimizing TAVR patient outcomes.