Abstract:
RATIONALE:Extracorporeal membrane oxygenation (ECMO) can deliver effective respiratory and circulatory maintenance to organ donors, improve organ function, and shorten warm ischemic time before harvesting. However, ECMO-supported brain-dead donors (DBDs) still have a high risk of acute kidney injury related to decreased renal oxygen delivery and inflammatory damage, which may cause early graft failure. PATIENT CONCERNS:Kidney transplantation from an ECMO-supported DBD. DIAGNOSES:We found an extremely abnormal "very dark blue" appearance of the graft kidneys from an ECMO-supported DBD during kidney procurement. INTERVENTIONS:Rather than discarding the graft kidneys, we performed an on-table biopsy. Pretransplant biopsy results revealed minimal interstitial fibrosis in the section of these graft kidneys. OUTCOMES:Two candidates received graft kidneys, and the two grafts remained functional until the 8-month follow-up. LESSONS:Currently, there is no standard method for evaluating graft kidney function of ECMO-supported DBDs. Regardless of the donors' preoperative serum creatinine (SCr) level, estimated glomerular filtration rate (eGFR), or gross appearance of the graft kidney, we believe that it is more reliable to include pretransplant biopsy as a criterion in clinical practice to safely accept kidneys from ECMO-supported DBDs.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Chiang PJ,Tang SH,Li CC,Chou MH,Lin YC,Wu STdoi
10.1097/MD.0000000000011106subject
Has Abstractpub_date
2018-06-01 00:00:00pages
e11106issue
26eissn
0025-7974issn
1536-5964pii
00005792-201806290-00013journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract:RATIONALE:Multiple cerebral gliomas (MCGs), usually classified into multifocal and multicentric subtypes, represent major diagnostic challenges as their clinical, radiologic, and pathohistological features are not uniform, often mimicking brain metastatic tumors or central nervous system inflammatory demyelinating dise...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000009456
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:Primary pulmonary meningiomas are extremely rare, and only a few cases have been reported in the medical literature. Imaging findings of primary pulmonary meningiomas have been reported even more rarely. PATIENT CONCERNS:We present the case of a 54-year-old male patient with cough and sputum lasting for 20 y...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009651
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Celiac disease is an autoimmune enteropathy characterized by an aberrant immune response to ingested gluten in genetically predisposed individuals. Studies have pointed to a rising prevalence of celiac disease in recent decades. Changes in diet and use of medication that may impact the gut microbiome have be...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000021488
更新日期:2020-08-28 00:00:00
abstract:RATIONALE:Wandering spleen (WS) is a rare clinical entity characterized by splenic hypermobility caused by absent or abnormal laxity of the suspensory ligaments, which fix the spleen in its normal position. Due to abnormal attachment, the spleen is predisposed to torsion and a series of complications. Pediatric WS is m...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000022063
更新日期:2020-09-11 00:00:00
abstract::The purpose of this study was to compare the dosimetric parameters for incidental irradiation to the axilla during whole breast radiotherapy (WBRT) with 3-dimensional conformal radiotherapy (3D-CRT) and intensity-modulated radiotherapy (IMRT). Twenty left breast cancer patients treated with WBRT after breast-conservin...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004036
更新日期:2016-06-01 00:00:00
abstract:RATIONALE:The outcomes of locally advanced non-small cell lung cancer (NSCLC) remain poor, in particular, the frail elderly patients cannot tolerate chemotherapy. The new efficient, safe, and more specific treatments are needed. Radiation combined with targeted therapy is the focus of research in recent years. Apatinib...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009276
更新日期:2017-12-01 00:00:00
abstract::To determine the relationship between the expression of phosphatase and tensin homologue (PTEN) and epidermal growth factor receptor (EGFR) in metastatic colorectal cancer (mCRC) and the clinical outcome of cetuximab-containing chemotherapy. A total of 158 consecutive mCRC patients with wild-type KRAS status who recei...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001698
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:Duodenal obstructions caused by congenital anatomic abnormalities are rare in adults. Several patients in whom the duodenal obstruction was caused by a congenital duodenal diaphragm have been described. The duodenal obstruction in the patient presented herein was caused by a transverse septum, which has no...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007093
更新日期:2017-10-01 00:00:00
abstract::To investigate the effect of multidisciplinary interventions on pain management in cancer inpatients.Four hundred thirty eight patients with cancer pain, who performed the multidisciplinary intervention were recruited. Before and after intervention, the Brief Pain Inventory (BPI) and the MD Anderson Symptom Inventory ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023312
更新日期:2020-11-25 00:00:00
abstract:RATIONALE:Immunosuppressive agents such as tacrolimus (TAC) and cyclosporin might cause glycemic disorders by suppressing insulin production. However, only a few cases of diabetic ketoacidosis (DKA) with longitudinal evaluation of endogenous insulin secretion related to TAC administration have been reported. PATIENT C...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000016992
更新日期:2019-09-01 00:00:00
abstract::To evaluate the impact of visceral obesity on laparoscopic total mesorectal excision (TME) and decide the best index to reflect completion of mesorectum and perioperative outcomes.Patients with rectal cancer who underwent laparoscopic TME were enrolled. The data including body mass index (BMI), visceral fat area (VFA)...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004462
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:The Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder. The obstetric course of women with KTS varies. Complications include bleeding, disseminated intravascular coagulation (DIC), thromboembolic events, etc. PATIENT CONCERNS:: Here, we report a case of late puerperal hemorrhage of a Chinese pu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018378
更新日期:2019-12-01 00:00:00
abstract::To investigate effects of microvascular decompression (MVD) surgical treatment on hemifacial spasm.A retrospective analysis of 320 adult patients (95 male cases, 29.7% and 225 female cases, 70.3%) with hemifacial spasm treated by surgery was conducted between February 2007 to June 2016, with an average age of 49.3 yea...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011825
更新日期:2018-10-01 00:00:00
abstract::International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Database (NCD) in Japan w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002194
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:This randomized controlled trial (RCT) aimed to compare the clinical outcomes of thoracolumbar burst fractures (TLBFs) treated with open reduction and internal fixation via the posterior paraspinal muscle approach (PPMA) and the post-middle approach (PA). METHODS:Patients with a traumatic single-level TLBFs...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000011193
更新日期:2018-06-01 00:00:00
abstract::Surgical-site infection (SSI) is a common complication in orthopedic surgery; however, SSI after surgically managed distal femur fractures was not well studied. The aim of this study was to investigate the incidence of SSI and identify some modifiable and nonmodifiable risk factors.The patients' electronic medical rec...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014547
更新日期:2019-02-01 00:00:00
abstract:RATIONALE:Fetal adenocarcinoma of the lung (FLAC) with fetal lung-like morphology is a rare entity of pulmonary adenocarcinoma. Well-differentiated fetal adenocarcinoma (WDFA) belongs to its the low-grade form, which possesses a relatively favorable prognosis. Tuberculosis (TB) is an aggressive infectious disease that ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018282
更新日期:2019-12-01 00:00:00
abstract::This systematic review was performed to investigate the ethical justification, methodological quality, validity and safety of placebo controls in randomized placebo-controlled surgical trials.Central, MEDLINE, and EMBASE were systematically searched to identify randomized controlled trials comparing a surgical procedu...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000003516
更新日期:2016-04-01 00:00:00
abstract::Abnormalities in the parathyroid hormone (PTH) gene as a cause of hypoparathyroidism were evaluated by linkage analysis with DNA polymorphisms adjacent to the PTH gene in 8 families in which members were affected with familial isolated hypoparathyroidism (FIH). We found that in none of the 23 affected individuals was ...
journal_title:Medicine
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::The present study aimed to analyze and compare the prognostic performances of the Japanese Ministry of Health and Welfare (JMHW) score, the Korean Society on Thrombosis and Hemostasis (KSTH) score, the International Society on Thrombosis and Haemostasis (ISTH) score, the Japanese Association for Acute Medicine (JAAM) ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011912
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:We present an interesting case of Candida lusitaniae infection in a patient diagnosed with renal clear cell carcinoma.An 82-year-old male presented with worsening back pain for 1 week. Physical examination including neurologic examination was normal. A computed tomography scan of the abdomen revealed a mas...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008510
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:Paraganglioma refers to a set of neuroendocrine tumors derived from the chromaffin cells of the adrenal diplomatic ganglion. Paragangliomas can be classified as functional or nonfunctional based on the ability to synthesize and release catecholamines. PATIENT CONCERNS:We report a 47-year-old man with a funct...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016383
更新日期:2019-07-01 00:00:00
abstract::Serum albumin (SA) is associated with inflammation and thrombosis, which are involved in acute aortic dissection (AAD). Our aim was to investigate the effect of SA level on survival in patients with AAD.We analyzed 777 patients with AAD. The patients were divided into hypoalbuminemia and non-hypoalbuminemia groups acc...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014486
更新日期:2019-02-01 00:00:00
abstract::To investigate the incidence and pattern of child and adolescent (≤18 years old) traumatic fractures (TFs) as a result of collisions.We retrospectively reviewed 270 child and adolescent patients (228 males and 42 females aged 12.8 ± 5.1 years old) with TFs as a result of collisions admitted to our university-affiliate...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010821
更新日期:2018-05-01 00:00:00
abstract::Emerging evidences showed impaired muscle strength was prevalent in older adults with mild cognition impairment or dementia. However, little was known about the role of quadriceps strength in the cognition decline among older population. The objective of our study was to investigate the relation between quadriceps str...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001335
更新日期:2015-08-01 00:00:00
abstract::Osteocalcin (OC) is an endocrine hormone that regulates glucose metabolism.The aim of this study was to investigate the relationship between serum OC levels and glucose metabolism after trauma.This was a retrospective study of trauma patients admitted to the Department of Emergency Medicine between October 2017 and Ap...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021901
更新日期:2020-09-04 00:00:00
abstract:BACKGROUND:The number of patients with type 2 diabetes mellitus (T2DM) is surging currently. Synbiotic as a supplement based on gut microbiota may be beneficial to improve the metabolism of T2DM. However, the results of clinical studies show that the role of synbiotic in weight management in patients with T2DM is contr...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018197
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Rudimentary horns and unicornuate uteri, 2 types of Mullerian duct abnormalities, often lack obvious symptoms. Ultrasonography (US) and magnetic resonance imaging (MRI) are alternative examinations but have low accuracy. Full-term rudimentary horn pregnancies are rather rare but life-threatening. PATIENT ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021604
更新日期:2020-08-21 00:00:00
abstract::Ankylosing spondylitis (AS) is a chronic inflammatory disease involing spine and enthesis. The primary aim of this study is to investigate the autonomic nervous system (ANS) function and the association between ANS and the functional status or disease activity in AS.The study included 42 AS patients, all fulfilling th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003749
更新日期:2016-05-01 00:00:00
abstract::To investigate the diurnal variations of the ocular blood flow in healthy eyes using laser speckle flowgraphy (LSFG), and to determine the relationship of the diurnal variations between the ocular blood flow and other ocular parameters.This prospective cross-sectional study was conducted at Nagoya University Hospital....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000519
更新日期:2015-02-01 00:00:00