The Experts below are selected from a list of 267 Experts worldwide ranked by ideXlab platform

Michael J Englesbe - One of the best experts on this subject based on the ideXlab platform.

  • obesity surgical site infection and outcome following Renal Transplantation
    Annals of Surgery, 2009
    Co-Authors: Raymond J Lynch, David N Ranney, Cai Shijie, Dennis S Lee, Niharika Samala, Michael J Englesbe
    Abstract:

    Objective:We sought to understand whether obesity imparts detriment in outcome beyond risk of developing surgical site infection (SSI).Summary Background Data:Obesity is a risk factor for SSI following Renal Transplantation, and has been implicated in inferior patient and graft survival postoperativ

  • is routine ureteral stenting cost effective in Renal Transplantation
    The Journal of Urology, 2007
    Co-Authors: Derek A Dubay, Ray Lynch, Joshua A Cohn, Yasser Ads, Jeffrey D Punch, Shawn J Pelletier, Darrell A Campbell, Michael J Englesbe
    Abstract:

    Purpose: Recent collective reviews show that ureteral stenting provides a decrease in ureteroneocystostomy anastomotic complications following Renal Transplantation. We identified the specific morbidity associated with urinary complications following Renal Transplantation and quantified the health care resources required to treat these patients at a high volume center.Materials and Methods: Prospective databases were used to identify patients with a Renal transplant who had urinary complications and track postoperative hospital readmissions and admission diagnostic codes. Financial models were used to estimate the variable direct costs of prophylactic stent placement and removal. Cost based analysis was performed to assess the financial feasibility of routine stenting following Renal Transplantation.Results: Patient specific morbidity and hospital readmissions were significantly increased in patients with a transplant who had a urinary complication. The incremental hospital costs incurred in a patient wit...

S. A. Loening - One of the best experts on this subject based on the ideXlab platform.

Richard N. Fine - One of the best experts on this subject based on the ideXlab platform.

R. Monico - One of the best experts on this subject based on the ideXlab platform.

Katarina Šurlan - One of the best experts on this subject based on the ideXlab platform.

  • Interventional radiological management of the complications of the Renal Transplantation
    Radiology and Oncology, 2004
    Co-Authors: Peter Popovic, Katarina Šurlan
    Abstract:

    Background. The most frequent radiologically evaluated and treated complications in Renal Transplantation are periRenal and Renal fluid collection and abnormalities of the vasculature and collecting system. Renal and periRenal fluid collection is usually treated successfully with percutaneous drainage. Doppler US, MRA and digital subtraction angiography (DSA) are most important in the evaluation of vascular complications of Renal Transplantation and management of the endovascular therapy. Conclusions. Stenosis, the most common vascular complication, occurs in 1% to 12% of transplanted Renal arteries and represents a potentially curable cause of hypertension following Transplantation and/or Renal dysfunction. Treatment with percutaneous transluminal Renal angioplasty (PTRA) or PTRA with stent has been technically successful in 82 to 92% of the cases, and graft salvage rate has ranged from 80-100%. Complications such as arterial and vein thrombosis are uncommon. IntraRenal A/V fistulas and pseudoaneurysms are occasionally seen after biopsy, the treatment requires superselective embolisation. Urologic complications are relatively uncommon; they consist predominantly of the urinary leaks and urethral obstruction. Interventional treatment consists of percutaneous nephrostomy, balloon dilation, insertion of the double J stents, metallic stent placement and external drainage of the extraRenal collections. The aim of the paper is to review the role of interventional radiology in the management of complications in Renal Transplantation.