Handbook of Renal and Pancreatic Transplantation Companion website This book is accompanied by a companion website: www.wiley.com/go/macphee/transplantation The website includes: • 60 full - colour fi gures to accompany Chapters 7 and 10 • Video clips of live donor nephrectomy to accompany Chapter 7 Handbook of Renal and Pancreatic Transplantation EDITORS Iain A. M. MacPhee Division of Clinical Sciences: Renal Medicine, St. George’s, University of London; Department of Renal Medicine and Transplantation, St. George’s Hospital, Blackshaw Road, London, UK Jirˇí Froneˇk Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; 2nd Medical Faculty, Charles University, Prague, Czech Republic A John Wiley & Sons, Ltd., Publication This edition fi rst published 2012 © 2012 by John Wiley & Sons, Ltd. 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Although every effort has been made to ensure that drug doses and other information are presented accurately in this publication, the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held responsible for errors or for any consequences arising from the use of information contained herein. For detailed prescribing information or instructions on the use of any produce or procedure discussed herein, please consult the prescribing information or instructional material issued by the manufacturer. Library of Congress Cataloging-in-Publication Data Handbook of renal and pancreatic transplantation / editors, Iain A. M. MacPhee, Jirˇi Froneˇk. p. ; cm. Includes bibliographical references and index. ISBN 978-0-470-65491-0 I. MacPhee, Iain A. M. II. Froneˇk, Jirˇi, 1970– [DNLM: 1. Kidney Transplantation. 2. Pancreas Transplantation. WJ 368] 617.4'610592–dc23 2011049799 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Set in 9.25/11.5 pt Minion by Toppan Best-set Premedia Limited 1 2012 For: Paula, Laura, Lucy, Madeleine, Eli š ka, Krist ý na and M á ja. Contents List of Contributors, ix Preface, xiii Abbreviations List, xv 1 History of transplantation, 1 Jiˇrí Fronˇek and Iain MacPhee 2 Assessment of the potential renal transplant recipient, 9 Patrick B. Mark and Alan G. Jardine 3 Pre-transplant assessment and medical evaluation of potential live kidney donors, 33 Jonas Wadström 4 Histocompatibility and immunogenetics, 55 Susan V. Fuggle and Craig J. Taylor 5 Donor management: care of the heartbeating brain-dead multi - organ donor, 77 Paul G. Murphy 6 Deceased donor retrieval, 91 Albert M. Wolthuis, Diethard Monbaliu, Willy Coosemans and Jacques Pirenne 7 Live donor nephrectomy, 109 Jirˇí Fronˇek and Nicos Kessaris 8 Organisation of transplant services, organ sharing and organ allocation: A perspective from the UK and Eurotransplant, 141 James Neuberger and Axel Rahmel 9 Deceased donor kidney transplantation, 159 Luisa Berardinelli 10 Living donor kidney transplantation, 173 Jiˇrí Fronˇek and Nicos Kessaris 11 Pancreas transplantation, 191 Guido Woeste and Wolf O. Bechstein 12 Pancreatic islet transplantation, 203 František Saudek vii viii Contents 13 Anaesthesia for renal transplantation, 219 Nicoletta Fossati 14 Anaesthesia for pancreatic transplantation, 227 Kai Zacharowski and Hans-Joachim Wilke 15 Anaesthesia for live donor nephrectomy, 235 Rehana Iqbal and Karthik Somasundaram 16 Immunosuppression, 243 Iain A.M. MacPhee and Teun van Gelder 17 Antibody-incompatible kidney transplantation, 271 Nicos Kessaris and Nizam Mamode 18 Renal transplantation in children, 287 Luisa Berardinelli and Luciana Ghio 19 Post-transplant diagnostic imaging, 297 Lakshmi Ratnam and Uday Patel 20 Transplant histopathology, 317 Eva Honsová 21 Infection, 335 Rachel Hilton and Martin W. Drage 22 Management during the fi rst three months after renal transplantation, 381 Iain A.M. MacPhee, Joyce Popoola and Daniel Jones 23 Management of long-term complications, 403 Paul N. Harden, Richard Haynes, Iain A.M. MacPhee and Jirˇí Fronˇek 24 Living donor follow-up, 437 Robert Elias and Jirˇí Fronˇek 25 Ethics of transplantation, 447 Robert Elias and Rehana Iqbal Index, 461 Companion website This book is accompanied by a companion website: www.wiley.com/go/macphee/transplantation List of Contributors Wolf O. Bechstein Department of General and Visceral Surgery, Johan Wolfgang Goethe University Frankfurt, Germany. Luisa Berardinelli General Surgery and Kidney Transplantation Unit, Policlinico University Hospital IRCCS, Milan, Italy. Willy Coosemans Department of Thoracic Surgery, University Hospitals Leuven, Belgium. Martin W. Drage Renal, Urology and Transplantation Directorate, Guy ’ s Hospital, London, UK. Robert Elias Renal Unit, King ’ s College Hospital, NHS Foundation Trust, London, UK. Nicoletta Fossati Department of Anaesthesia, St. George ’ s Healthcare NHS Trust, London, UK. Ji rˇ í Fron eˇ k Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. 2nd Medical Faculty, Charles University, Prague, Czech Republic. Susan V. Fuggle Transplant Immunology and Immunogenetics, Oxford Transplant Centre, Churchill Hospital, Oxford, UK. Luciana Ghio Department of Pediatrics, Policlinico University Hospital IRCCS, Milan, Italy. Teun van Gelder Nephrology and Clinical Pharmacology, Erasmus Medical Centre, Rotterdam, Netherlands. Paul N. Harden Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, London, UK. Richard Haynes Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, London, UK. ix x List of Contributors Rachel Hilton Renal, Urology and Transplantation Directorate, Guy ’ s Hospital, London, UK. Eva Honsov á Clinical and Transplant Pathology Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. Rehana Iqbal Anaesthesia Department, St. George ’ s Healthcare NHS Trust, London, UK. Alan G. Jardine BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK. Daniel Jones Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, London, UK. Nicos Kessaris Department of Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, Blackshaw Road, London, UK. Iain A.M. MacPhee Division of Clinical Sciences: Renal Medicine, St. George ’ s Healthcare NHS Trust, University of London, London, UK. Department of Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, Blackshaw Road, London, UK. Nizam Mamode Renal, Urology and Transplantation Directorate, Guy ’ s Hospital, London, UK. Patrick B. Mark BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK. Diethard Monbaliu Department of Abdominal Transplant Surgery, University Hospitals Leuven, Belgium. Paul G. Murphy National Clinical Lead for Organ Donation, NHS Blood and Transplant and Department of Neuroanaesthesia and Critical Care, Leeds Genereal Infi rmary, Leeds, UK. James Neuberger Liver Department, University Hospitals Birmingham. NHS Foundation Trust, Birmingham, UK. Uday Patel Radiology Department, St. George ’ s Healthcare NHS Trust, London, UK. J acques Pirenne Department of Abdominal Transplant Surgery, University Hospitals Leuven, Belgium. List of Contributors xi Joyce Popoola Renal Medicine and Transplantation, St. George ’ s Healthcare NHS Trust, London, UK. Axel Rahmel Eurotransplant International Foundation, Leiden, Netherlands. Lakshmi Ratnam Radiology, St. George ’ s Healthcare NHS Trust, London, UK. Franti š ek Saudek Diabetes Center, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. Karthik Somasundaram Anaesthesia Department, St George ’ s Healthcare NHS Trust London, UK. Craig J. Taylor Transplant Immunology and Immunogenetics, Oxford Transplant Centre, Churchill Hospital, Oxford, UK. Jonas Wadstr ö m Departments of Transplantation Surgery and Transfusion Medicine, Karolinska University Hospital, Huddinge, Stockholm; Department of Transplantation Surgery, Karolinska University Hospital, Sweden. Hans - Joachim Wilke Clinic of Anesthesiology, Intensive Care Medicine and Pain Therapy University Hospital Frankfurt am Main, Germany. Guido Woeste Department of General and Visceral Surgery, Johan Wolfgang Goethe University Frankfurt, Germany. Albert M. Wolthuis Department of Abdominal Surgery, University Hospitals Leuven, Belgium. Kai Zacharowski Clinic of Anesthesiology, Intensive Care Medicine and Pain Therapy University Hospital Frankfurt am Main, Germany.
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