| [ Summary ] |
Compared to kidney transplant recipients with good graft function, patient survival rates after graft loss are extremely poor. Aggressive management should be integrated into routine post-transplant care by cooperation between dialysis physicians and transplant physicians. Follow ups by transplant physicians are in terms of optimal time to begin dialysis after graft loss and screening for cardiovascular complications (coronary artery disease and valvular disease). It is important to recommend preemptive retransplantation for recipients losing grafts. Follow ups by dialysis physicians must be done to recognize symptoms resulting from rejection including graft tenderness, fever, hematuria, weight loss, fatigue, and erythrocyte stimulating agent (ESA) resistant anemia. Temporary steroid increases and referral for transplant surgery are required. Registration for caderveric retransplantation is also required. |