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Predicting Function Delay with a Machine Learning Model: Improve the Long-term ...

Vigia, E; Ramalhete, L; Barros, I; Chumbinho, B; Filipe, E; Pena, A; Bicho, L; Nobre, A; Carrelha, S; Corado, S; Sobral, M; Lamelas, J; Santos Coelho, J

The impact of delayed graft function on outcomes following various solid organ transplants is well documented and addressed in the literature. Delayed graft function following various solid organ transplants is associated with both short- and long-term graft survival issues. In a retrospective cohort study including 106 patients we evaluated whether pancreas graft survival differs according to moment of insulin...


Combined Lung-Kidney Transplantation: First Case in Portugal

Silva, D; Dantas, C; Santos, AS; Silva, C; Aires, I; Remédio, F; Carrelhas, S; Pena, A; Eurico Reis, J; Calvinho, P; Semedo, L; Cardoso, J; Nolasco, F

A significant dysfunction of another organ is usually considered an absolute contraindication for lung transplantation, unless multiorgan transplantation is indicated and practical, as is the case of combined lung-kidney transplantation. Few cases of combined lung-kidney transplantation have been described in the literature; however, it is known that, in certain cases, it is the only way to offer an opportunity...


Morphologic Patterns and Treatment of Transplant Glomerulopathy: a Retrospectiv...

Abreu, R; Carvalho, F; Viana, H; Mesquita, I; Possante, M; Aires, I; Caeiro, F; Silva, C; Cotovio, P; Ferreira, A; Remédio, F; Nolasco, F

Transplant glomerulopathy is mainly due to chronic antibody-mediated rejection and actually represents a major cause of long-term allograft failure. The lack of effective treatment remains a serious problem in transplantation. A retrospective and uni-center study was performed in 48 kidney allograft recipients with transplant glomerulopathy between January 2010 and December 2015. Median time for diagnosis was 7...


A Rare Malignancy in the Post -Transplant Period: Myeloma Cast Nephropathy

Mesquita, I; Viana, H; Possante, M; João, C; Carvalho, S; Silva, C; Aires, I; Ferreira, A; Remédio, F; Carvalho, F; Nolasco, F

Myeloma-associated renal disorders are rare events among renal transplants and can occur as recurrent or de novo disease. We describe an unusual case of renal allograft dysfunction due to myeloma cast nephropathy occurring 19 years after having received a renal transplant in a patient with no prior history of multiple myeloma or monoclonal gammopathy preceding transplantation. Our patient was treated with five ...


Early Renal Protocol Biopsies: For Some But Not For All Renal Transplant Patients?

Navarro, D; Ferreira, AC; Caeiro, F; Nolasco, F; Cotovio, P; Aires, I; Silva, C; Remédio, F; Ferreira, A; Viana, H; Carvalho, F

Subclinical rejection following renal transplant is associated with worse outcomes, which can be prevented if recognized early. Protocol allograft biopsies have emerged as an option to identify and allow treatment of subclinical rejection, but optimal timing for their performance is not established. We retrospectively evaluated a cohort of 52 low immunological risk patients, who were submitted, from 2007 to 201...


Anti-Phospholipase A2 Receptor Antibodies in the Diagnosis of Idiopathic Membra...

Meneses, G; Viana, H; Santos, MC; Ferreira, C; Calado, J; Carvalho, F; Remédio, F; Nolasco, F

Circulating anti-phospholipase A2 receptor antibodies (anti-PLA2R) have been described in 70% to 80% of the patients with idiopathic membranous nephropathy (iMN), but not in patients with secondary membranous nephropathy or other glomerular diseases. The goal of this study was to evaluate the sensitivity and specificity of the assay for anti-PLA2R in the diagnosis of iMN. Anti-PLA2R IgG, Elisa and immunofluores...


ABO-Incompatible Liver Transplantation in Acute Liver Failure: A Single Portugu...

Mendes, M; Ferreira, AC; Ferreira, A; Remédio, F; Aires, I; Cordeiro, A; Mascarenhas, A; Martins, A; Pereira, P; Glória, H; Perdigoto, R; Veloso, J

INTRODUCTION: ABO-incompatible liver transplantation (ABOi LT) is considered to be a rescue option in emergency transplantation. Herein, we have reported our experience with ABOi LT including long-term survival and major complications in these situations. PATIENT AND METHODS: ABOi LT was performed in cases of severe hepatic failure with imminent death. The standard immunosuppression consisted of basiliximab, co...


Atheroembolic Renal Disease As a Cause of Allograft Primary Non-Function

Viana, H; Ferreira, C; Carvalho, F; Santos, AR; Galvão, MJ; Remédio, F; Nolasco, F

Atheroembolic renal disease, also referred to as cholesterol crystal embolization, is a rare cause of renal failure, secondary to occlusion of renal arteries, renal arterioles and glomerular capillaries with cholesterol crystals, originating from atheromatous plaques of the aorta and other major arteries. This disease can occur very rarely in kidney allografts in an early or a late clinical form. Renal biopsy s...


Treatment of Hepatitis C Virus Infection in Kidney Transplant Recipients: Case ...

Caeiro, F; Baptista, V; Rodrigues, N; Carvalho, D; Aires, I; Remédio, F; Nolasco, F

Chronic hepatitis C virus (HCV) infection exists in a large proportion of patients undergoing renal transplantation. Nowadays it is not considered to be an absolute contraindication to transplantation; however, it is associated with an increased risk for the patient and accounts for a shorter half-life of the renal allograft. We present three transplant recipients who displayed serious hepatic dysfunction after...


Citometria com Esferas na Abordagem do Transplante Renal Precoce. Estudo Prospe...

Ferreira, AC; Viana, H; Cabrita, A; Carvalho, D; Ferreira, A; Remédio, F; Lima, A; Sancho, R; Trindade, H; Carvalho, F; Nolasco, F


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