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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Dialysis Is Performed In Post Renal Transplant?

Sir,
My father is a post renal transplant patient, now his creatinine value is 8 points. so doctor is advising again to go for Dyalysis. is that the only way, if it is so, he has the fistla in his hand. does he need a opeation sepearatly to start dyalysis, or can we use the old fistla itself.
Pls give me a reply.
Regards
Sabari
Mon, 21 Aug 2017
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Nephrologist,  's  Response
Dialysis is essentially performed the same way whether it is pretransplant or post transplant.U can use the same AV FISTULA..provided it is working well.
My query is that is the transplant kidney function lost in matter of days (that is recent past) or slowly over years.
Because recent loss of function can be revived through management including renal biopsy and treating the cause of dysfunction. More slow loss called as CHRONIC ALLOGRAFT NEPHROPATHY can't be reverted and transplant kidney cannot be recovered .In that case hemodialysis is the only option left apart from second transplant option.
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How Dialysis Is Performed In Post Renal Transplant?

Dialysis is essentially performed the same way whether it is pretransplant or post transplant.U can use the same AV FISTULA..provided it is working well. My query is that is the transplant kidney function lost in matter of days (that is recent past) or slowly over years. Because recent loss of function can be revived through management including renal biopsy and treating the cause of dysfunction. More slow loss called as CHRONIC ALLOGRAFT NEPHROPATHY can t be reverted and transplant kidney cannot be recovered .In that case hemodialysis is the only option left apart from second transplant option.