Kidney Transplantation
Kidney Tranplantation General
0 CME Credits
- Role of Transplant Recipient Co-ordinator
- Involvement of Recipient Transplant Coordinators in Transplant Outpatient Clinics in Japan: Current Status and Transplant Physician’s Thoughts on Follow-Up Clinics
- Clinical Practice Guidelines
- The effect of anastomosis time on outcome in recipients of kidneys donated after brain death
- Osband et al 2015 American Journal of Transplantation
- Center level variation in the development of DGF after deceased donor kidney transplantation
- Preimplant histologic acute tubular necrosis and allograft outcome
- A new quantitative index for baseline renal transplant scintigraphy in evaluation of DGF and prediction of 1 year function
- Patel et al 2017 American Journal of Transplantation
- Intrarenal Resistive Index after Transplantation
- Abdominal Organ Retrieval and Transplantation Bench Surgery
- Operative Techniques in Transplantation Surgery
- Kidney Transplantation - Principles and Practice 7th Edition
- Atlas of Organ Transplantation
- Effectiveness and Harms of Using Kidneys with Small Renal Tumors from Deceased or Living Donors as a Source of Renal Transplantation: A Systematic Review
- Tailored desensitization strategies in ABO blood group antibody incompatible renal transplantation
- Annual report on living donor kidney transplantation
- Difference in outcomes after antibody-mediated rejection between abo-incompatible and positive cross-match transplantations
- Kidney exchange match rates in a large multicenter clearinghouse
- Transplanting the highly sensitized patient: trials and tribulations
- Post-listing survival for highly sensitised patients on the UK kidney transplant waiting list: a matched cohort analysis
- Survival Benefit with Kidney Transplants from HLA-Incompatible Live Donors
- Successful Expansion of the Living Donor Pool by Alternative Living Donation Programs
- The use of eculizumab in renal transplantation
- Three-Year Outcomes Following 1420 ABO-Incompatible Living-Donor Kidney Transplants Performed After ABO Antibody Reduction: Results From 101 Centers
Module 1: Pre-transplant Management
3 CME Credits
Options for management of the patient with end stage renal failure (Rainer Oberbauer)
- Options for Management of the Patient with End Stage Renal Failure
Assessment of the potential renal transplant recipient (Christophe Legendre)
- Indications of kidney transplantation
- Preparation for the potential and future recipient: information
- Preparation for the potential and future recipient: medical interviews
- Tests to be performed
- Strategy and prognosis definition
Decision making in the high risk recipient (Christophe Legendre)
- The high immunological risk patient
- The patient at high risk of kidney disease recurrence
- The patient a past history of cancer
The role of the renal recipient coordinator (Alison Glover)
- Who is the renal recipient transplant coordinator?
- The role of the renal recipient transplant coordinator
- Transplant referral
- Transplant assessment
- Listing for transplant
- Waiting list management
- Role development for the renal recipient transplant coordinator
Communicating risk and consent (Lorna Marson)
- Current challenges in communication
- Understanding risk
- Principles of informed consent
What happens in the H&I laboratory? (Frans Claas)
- General introduction
- HLA typing of donor and recipient
- Serological crossmatching
- Antibody screening and virtual crossmatch
- Towards epitope matching
Module 2: Peri-transplant Management
3 CME Credits
Assessment of potential deceased donor offer (Robert Langer)
- General introduction of deceased donor transplantation
- Understanding the definition of brain death
- DCD donation & organ perfusion
- Organisational aspects of deceased donor transplantation
Optimizing organ utilization (Chris Callaghan)
- Soon available
Peri-operative care of the renal transplant recipient (Dr Mortimer Kelleher)
- Patient Assessment prior to listing for transplant
- Pre-operative evaluation
- Intra-operative care: Physiological goals during renal transplantation
- Post-operative care
Immunosuppression in the renal transplant recipient (Nick Torpey)
- Introduction to immunosuppression
- Immunosuppressive protocols
- Individualised immunosuppression - immunologic risk
- Challenges in immunosuppression
Management of the patient in the first week (Lucrezia Furian)
- Failing urine output
- Delayed graft function
- Ureteral complications
- Vascular complications
Early complications in the renal transplant recipient (Bruno Watschinger)
- Delayed allograft function
- Allograft dysfunction
- Differential diagnosis of acute allograft rejection
- Classifications of allograft rejections
Module 3: Surgical Techniques and Challenges
2 CME Credits
Standard surgical techniques in renal transplantation (Ina Jochmans)
- Back table procedure
- Positioning & entering retroperitoneal space
- Exposure vessels & venous anastomosis
- Bladder anastomosis
- Closure
Surgical vascular challenges during renal transplantation (Ina Jochmans)
- No patch & atherosclerosis
- Multiple arteries
- Cuts & transsections
- Dissections & tears
- Short vein & multiple veins
- Recipient issues
The urological challenges of surgical techniques in renal transplantation (Jonny Olsburgh)
- Introduction & Work Up for Transplant
- Benchwork and Transplant scenarios
- Abnormal urinary tract
- Complication: urine leak
- Complication: ureteric obstruction
- Small renal mass
Module 4: Post Transplant Management
2 CME Credits
Long-term management of the renal transplant recipient (Josep Grinyo)
- General introduction
- Cardiovascular complications
- Recurrent diseases
- Maintenance immunosuppression and immune surveillance
- Malignancies
- Recurrent urinary tract infections
Managing the failing transplant (Gareth Jones)
- Epidemiology and patient survival
- Reducing cardiovascular risk
- Achieving Chronic Kidney Disease (CKD) targets
- The failed kidney and immunosuppression withdrawal
- Renal replacement options
Module 5: Special Considerations
3 CME Credits
Transplanting the recipient with antibodies (Nizam Mamode)
- The definition of Antibody Incompatible Transplantation and Kidney Sharing Schemes
- How do Kidney Sharing Schemes (KSS) work?
- Who should have AIT and how do we do it?
- Outcomes of Antibody Incompatible Transplantation?
Managing pregnancy post kidney transplantation (Kate Bramham)
- Introduction and fertility in renal transplant recipients
- Timing of pregnancy
- Ante-natal care and vaccinations
- Peri-natal and post-natal care
- Long term consequences
Infectious considerations post-transplant (Dr Adnan Sharif)
- Pathophysiology of post-transplant infections
- Epidemiology and outcomes of post-transplant infections
- Preventive measures against post-transplant infections
- General principles for management of post-transplant infections
- Specific considerations of post-transplant infections
Management of the transplant patient with cancer (Nick Torpey)
- Organ donors with a history of cancer
- Cancer developing after transplantation
- Risk factors of new cancers after transplantation
- Important post-transplant cancers
- Prevention, surveillance and screening of cancers
Module 6: Cases
1 CME Credit
Multi-disciplinary team discussion – decision making (Lorna Marson)
- To list or not to list - Case 1
- To list or not to list - Case 2
- To list or not to list - Case 3
Challenging organ offer (Lorna Marson)
- Challenging organ offer - Case 1
- Challenging organ offer - Case 2
Surgical tricks and tips in renal transplantation from a panel of experts (Jeff Lafranca)
- How to tell a procurement surgeon he/she has done a poor job?
- What to do if renal parameters are bad on a good kidney?
- What if arterial flow is poor after reperfusion?
- Separate anastomosis or bench reconstruction in case of vascular multiplicity?