Transplantology, Volume 5, Issue 1 (March 2024) – 5 articles
Cover Story (view full-size image):
There is uncertainty about the best approach to replacement treatment for kidney transplant recipients with chronic terminal graft dysfunction, since a retransplant could be performed before resuming dialysis and a dilemma exists regarding the discontinuance of immunosuppressive therapy. On the one hand, this group of patients represents a high-risk group upon returning to dialysis, since they have greater morbidity and mortality in the first months due to infectious and cardiovascular causes if the immunosuppression is maintained. On the other hand, those recipients in whom immunosuppression is withdrawn are more likely to develop sensitization and subsequently less likely to have a successful retransplantation; moreover, they often develop graft intolerance syndrome. View this paper
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