During the waiting period, both the nephrology team and the transplant team follows the ESRD patient. Scheduled serum samples are taken at regular intervals during dialysis visits to ascertain fluctuations of the PRA and crossmatch status. In general, waiting periods can be measured in years for these patients. During this time, dialysis allows for patient optimization, though progressive loss of vascular access can be a life-threatening factor, especially for diabetic patients. Also during this period, the patient may undergo surgical intervention aimed at optimizing the outcome of the future KT. These commonly include bilateral nephrectomy (e.g., for polycystic disease or chronically infected kidneys), cholecystectomy (for gallstones) and coronary artery bypass grafting (for CAD).
Was this article helpful?