Introduction: Obesity is a major barrier to kidney transplantation, associated with increased perioperative complications and reduced graft survival. Traditional bariatric surgeries have shown effectiveness in weight reduction but present challenges in pharmacokinetics and nutritional status. Endoscopic sleeve gastroplasty has emerged as a less invasive alternative, potentially suitable as a bridge to renal tra...
Introduction: Africa contributes to <10% of the total renal replacement therapy (RRT) patients worldwide. Due to a co‐ operation protocol, Portugal provides RRT and CKD care to patients from some African Countries of Portuguese Official Language (ACPOL). The purpose of this analysis was to describe the clinical characteristics and outcomes of patients from ACPOL who integrated our hemodialysis (HD) program i...
Renal artery thrombosis is a rare and overlooked cause of kidney failure. Clinical presentation is unspecific, leading to delays in diagnosis and, therefore, preventing timely treatment. Herein, we present a case of bilateral renal artery thrombosis that led to severe acute kidney injury assumed to be irreversible. A 61‐year‐old Caucasian female presented to the emergency department with nausea, vomiting and re...
Introduction: Vascular access (VA) has a significant impact in the quality of life and survival of patients on hemodialysis (HD). The very elderly are a subgroup of patients whose incidence of renal replacement therapy is the highest. This study aimed to evaluate the impact of the VA at HD start on one ‑year mortality in this population. Methods: Retrospective analysis of patients aged 80 years or older who ...
Hyperkalemia is a potentially life-threatening condition frequently encountered in clinical practice, particularly among patients with chronic kidney disease, heart failure, diabetes, and hypertension and those undergoing treatment with renin-angiotensin-aldosterone system inhibitors (RAASi). The management of chronic and acute hyperkalemia is complex and requires timely intervention to prevent severe complicat...
Background: CKD is a significant cause of morbidity, cardiovascular and all-cause mortality. CHA2DS2-VASc is a score used in patients with atrial fibrillation to predict thromboembolic risk; it also appears to be useful to predict mortality risk. The aim of the study was to evaluate CHA2DS2-VASc scores as a tool for predicting one-year mortality after hemodialysis is started and for identifying factors associat...
Background: The first few months of hemodialysis (HD) are associated with a higher risk of mortality. Protein-energy malnutrition is a demonstrated major risk factor for mortality in this population. The C-Reactive Protein to Albumin ratio (CAR) has also been associated with increased mortality risk. The aim of this study was to determine the predictive value of CAR for six-month mortality in incident HD patien...
Management of pregnant women with diabetic kidney disease and nephrotic range proteinuria or nephrotic syndrome constitute a challenge to clinicians. Maternal and perinatal outcomes, especially in patients with chronic kidney disease, remain poor. The authors describe the multidisciplinary approach and the outcomes of diabetic pregnant patients with nephrotic range proteinuria.