Diagnostic techniques in the work-up of renal allograft dysfunction--an update.

Abstract:

:After renal transplantation, acute allograft dysfunction secondary to acute rejection occurs in around 30-40% of patients. Although in the majority of patients these episodes are reversible, acute rejection remains a major risk factor for the development of chronic rejection. Remarkably, prior episodes of acute allograft rejection are associated with decreased allograft survival. Histologic examination of the percutaneous core needle transplant biopsy remains the gold standard for the diagnosis of acute rejection. It does, however, have a number of shortcomings, and less invasive procedures that could diagnose incipient rejection and simultaneously provide mechanistic information on the rejection process (allowing delivery of more tailored therapy) are being sought. To address these problems a number of alternative diagnostic procedures have been suggested, including duplex Doppler ultrasound assessment, fine-needle aspiration biopsy, urine cytology, urine cytokine analysis, serum cytokine analysis, and cytokine analysis of biopsy material.

authors

Chandraker A

doi

10.1097/00041552-199911000-00013

keywords:

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

723-8

issue

6

eissn

1062-4821

issn

1473-6543

journal_volume

8

pub_type

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