Do you do renal puncture after transplantation ?

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Do you do renal puncture after transplantation ?

Postby viwa » Tue Dec 22, 2015 5:59 am

Hi,
I had a sencond kindey transplantation two years ago.
The creatinine is always on normal level ( about 0.7~0.8 mg/dl) last two years.

My doctor told me I need to do a renal puncture check because I had the surgery for two years.
Of course, I will follow doctor's suggestion, but just curious, all of you had the same checking after the transplantation ? :roll:
Thank you. :lol:
viwa
 
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Re: Do you do renal puncture after transplantation ?

Postby bigbuzzard » Tue Dec 22, 2015 11:02 am

In my experience, after two transplants in the UK, I've only had a renal biopsy (aka puncture check) when there was something wrong.

From the units you're using to express creatinine level, I assume you not in the UK.

A quick Google shows that in Sacramento, California, for example, it's a normal procedure at three and twelve months after transplant: http://www.ucdmc.ucdavis.edu/transplant ... psies.html

So it's obviously one of those things where 'normal practice' varies around the world.
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Re: Do you do renal puncture after transplantation ?

Postby viwa » Wed Dec 23, 2015 3:31 am

Hi, bigbuzzard

I'm from aisa and feel relieved after reading your feeback.
Thank you very much for your information.
Wish you a merry christmas :) :D :D :D
viwa
 
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Re: Do you do renal puncture after transplantation ?

Postby viwa » Wed Mar 02, 2016 8:55 am

Hi, I came back and share my diagnostic result.

My report for biopsy has came out and I got a c4d positivity >50%.
It could be diagnosed to chronic rejection. :(
Then , I will do plasmapheresis ( 4 times) + IVIG and the doctor said it should be effective for me.
( I had received the same treatment before transplantation surgery due to I had high PRA and it did work.)
(The time limit for plasmapheresis is about 2 years and I could check C4D again after 2 years later.)

The only fortune is that I could found it in early stage. ( now the Cr is still 0.8 level)
viwa
 
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