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Successful renal transplantation in a patient with cold agglutinin disease
- Source :
- Journal of Clinical Apheresis. 32:56-58
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Cold agglutinin disease is a rare cause of acute graft loss after renal transplantation. A 71-year-old female with end stage renal failure was diagnosed to have cold agglutinin disease when investigated for recurrent clotting of hemodialysis circuits. Kidney transplantation was a major challenge due to unavoidable exposure of the transplant kidney to cold temperatures. Large volume plasma exchange given pre-transplant and infusion of warm saline prior to anastomosis resulted in successful renal transplantation with good graft function despite initial delayed graft function. This challenging case illustrates the complete removal of cold agglutinin antibodies with therapeutic large volume plasma exchange. J. Clin. Apheresis 32:56-58, 2017. © 2016 Wiley Periodicals, Inc.
- Subjects :
- medicine.medical_specialty
Cold agglutinin disease
business.industry
medicine.medical_treatment
030232 urology & nephrology
Hematology
General Medicine
Anastomosis
medicine.disease
Cold Agglutinin
Surgery
Transplantation
03 medical and health sciences
surgical procedures, operative
0302 clinical medicine
Apheresis
medicine
030211 gastroenterology & hepatology
Hemodialysis
business
Saline
Kidney transplantation
Subjects
Details
- ISSN :
- 07332459
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Apheresis
- Accession number :
- edsair.doi...........3d534258e4b775055731109185fa14ec