Jan 13, 2009

Survival, complications, and analysis of risk factors after renal transplantation in cats

Veterinary Surgery : VS
Chad W SchmiedtJonathan F McAnulty

Abstract

To report survival, complications, and analyze risk factors for survival after renal transplantation (RTr) and cyclosporine-A based immunosuppression in cats. Historical cohort. Cats (n=60). Data were obtained from medical records of cats that had RTr. Influence of various perioperative factors on survival and complications was evaluated. Occurrence of postoperative hypertension (HT), seizures, infection, acute allograft rejection (AR), congestive heart failure (CHF), and delayed graft function (DGF) was evaluated. Survival to discharge after RTr was 77.5%. Estimated median overall survival time was 613 days; 6 month and 3 year overall survival proportions were 65% and 40%, respectively. Age, weight, and blood pressure influenced overall survival. Increased preoperative creatinine concentration, blood urea nitrogen, postoperative creatinine concentration, left ventricular wall thickness, and reduced creatinine reduction ratio influenced survival until discharge. HT was identified in 9/30 (30%) cats; however, no risk factors were identified, nor was HT related to seizures. AR was identified in 8/62 (13%) grafts. Infection, predominantly bacterial, developed in 22/60 (37%) cats. CHF occurred in 7/60 (12%) cats before discharge. C...Continue Reading

  • References32
  • Citations25

References

  • References32
  • Citations25

Citations

Mentioned in this Paper

Family Felidae
Creatinine
Decreased Immunologic Activity [PE]
Azotemia
Prerenal Uremia Syndrome
Cyclosporine
Incidence Studies
Survival Analysis
Kidney
Delayed Graft Function

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