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About:
The use of thromboelastography to assess post-operative changes in coagulation and predict graft function in renal transplantation()
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Academic Article
research paper
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Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
The use of thromboelastography to assess post-operative changes in coagulation and predict graft function in renal transplantation()
Creator
Choudhury, Rashikh
Moore, Hunter
Nydam, Trevor
Adams, Megan
Bak, Thomas
Chapman, Michael
Conzen, Kendra
Kennealey, Peter
Pomfret, Elizabeth
Pomposelli, James
Pshak, Thomas
Schulick, Alexander
Wachs, Michael
Walker, Carson
Yaffe, Hillary
Source
Elsevier; PMC
abstract
BACKGROUND: End stage renal disease (ESRD) is associated with elevated fibrinogen levels and fibrinolysis inhibition. However, there is a paucity of data on how renal transplantation impacts coagulation. we hypothesize that renal transplantation recipients with good functioning grafts will have improved fibrinolytic activity following surgery. METHODS: Kidney recipients were analyzed pre-operatively and on post-operative day 1(POD1) using three different TEG assays with and without two concentration of tissue-plasminogen activator (t-PA). TEG indices and percent reduction in creatinine from pre-op to POD1 were measured, with >50% defining “good” graft function. Follow up was done at 6, 12, and 24 months. RESULTS: Percent lysis(LY30) on POD1 the t-PA TEG was significantly correlated to change creatinine from pre-op to POD-1(p = 0.006). A LY30 ≥ 23% was associated with good early graft function, and lower creatinine at 24-months(p = 0.028) compared to recipients with low POD1 LY30. CONCLUSIONS: Post-operative tPA-TEG LY30 is associated with favorable early and late outcomes in kidney transplant.
has issue date
2020-08-27
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bibo:doi
10.1016/j.amjsurg.2020.08.019
has license
no-cc
sha1sum (hex)
31c8672d41aec898a15fa7ed92dbf917c14fb39e
schema:url
https://doi.org/10.1016/j.amjsurg.2020.08.019
resource representing a document's title
The use of thromboelastography to assess post-operative changes in coagulation and predict graft function in renal transplantation()
has PubMed Central identifier
PMC7450953
schema:publication
Am J Surg
resource representing a document's body
covid:31c8672d41aec898a15fa7ed92dbf917c14fb39e#body_text
is
schema:about
of
named entity 'Transplantation'
named entity 'Journal'
named entity 'ESRD'
named entity 'elevated'
named entity 'coagulation'
named entity 'Thromboelastography'
named entity 'Renal Transplantation'
named entity 'fibrinolysis'
named entity 'creatinine'
named entity 't-PA'
named entity 'organ'
named entity 'blood samples'
named entity 'systemic inflammation'
named entity 'ischemic'
named entity 'coagulation factors'
named entity 'Animal work'
named entity 'cost-effective'
named entity 'Armonk'
named entity 'thrombin'
named entity 'liver transplantation'
named entity 'fibrinogen'
named entity 'coagulation'
named entity 'Renal failure'
named entity 'post-operative'
named entity 'fibrinolytic'
named entity 'ESRD'
named entity '3.5'
named entity 'POD1'
named entity 'autoimmune disease'
named entity 'hemodialysis access'
named entity 'coagulation'
named entity 'creatinine'
named entity 'lysis'
named entity 'blood samples'
named entity 'coagulation'
named entity 't-PA'
named entity 'fibrin'
named entity 'kidneys'
named entity 'fibrinolysis'
named entity 'polycystic kidney disease'
named entity 'animal models'
named entity 't-PA'
named entity 'dialysis'
named entity 'intravascular'
named entity 'deep vein thrombosis'
named entity 'Haemonetics'
named entity 'ESRD'
named entity 't-PA'
named entity 'long-term'
named entity 'uPA'
named entity 'hypertension'
named entity 'dialysis'
named entity 'coagulation'
named entity 'Thymoglobulin'
named entity 'COVID-19 pandemic'
named entity 'perfusion'
named entity 't-PA'
named entity 'creatinine'
named entity 'lysis'
named entity 'POD1'
named entity 'perioperative'
named entity 'kidney transplantation'
named entity 'fibrinolysis'
named entity 'kidneys'
named entity 'renal transplantation'
named entity 'tPA'
named entity 'living donor'
named entity 'hypertension'
named entity 't-PA'
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