For many critical cardiac conditions such as cardiomyopathy, congenital heart defects, or arrhythmogenic disorders, cardiac transplantation is often an accepted treatment with optimistic oneand five-year survival rates of 90% and 75% in the pediatric patient population, respectively. However, poor longterm survival is a cause for concern, with cardiac graft failure being the leading cause in la...

An increasing number of revision ACL reconstructions are being performed each year. Revision ACL surgery is challenging and cannot be approached in the same manner as primary ACL surgery. Successful revision ACL surgery requires a detailed history, a comprehensive physical examination, appropriate radiologic studies, and careful preoperative planning. The results of revision ACL surgery do not ...

INTRODUCTION Acute kidney injury is associated with a poor prognosis in acute liver failure but little is known of outcomes in patients undergoing transplantation for acute liver failure who require renal replacement therapy. METHODS A retrospective analysis of the United Kingdom Transplant Registry was performed (1 January 2001-31 December 2011) with patient and graft survival determined usi...

advances in nephrology and pediatric urology have increased the number of children who survive renal disease and become candidates for renal transplantation. ten years of experience in pediatric renal transplantation are reviewed to determine the rates of patient morbidity and graft survival. of the 450 renal transplantations performed in imam reza hospital (1989- 1999), fifty-one were done on ...

Early primary graft failure after pediatric orthotopic heart transplantation (OHT) has a high mortality rate and can occur due to several causes including but not limited to prolonged graft ischemia time, suboptimal preimplant myocardial preservation, hyperacute rejection, and maladaptation of the graft to the host's hemodynamic status. Mechanical circulatory support with either extracorporeal ...

this study was designed reevaluate the outcome of soft wall reconstruction technique for cwd mastoidectomy and to test the validity of anteriorly–based musculoperiosteal flap attachment without oblitrating the mastoid cavity for increasing graft viability. two methods of reconstruction were used. soft wall reconstruction method as described previously by smith et al, were performed on 35 patien...

BACKGROUND Regular monitoring of dialysis grafts is recommended, but the value of dialysis graft blood flow monitoring and venous pressures in predicting subsequent outcomes are controversial. METHODS Over a period of one month, we performed simultaneous flow and venous pressure monitoring in 71 dialysis patients with polytetrafluoroethylene (PTFE) grafts. These patients were prospectively fo...

Trials designed to assess the effect of interventions on death and graft failure in kidney transplant recipients are not feasible, because these are predominantly late events. Here, we examined the potential of percentage decline in eGFR as a surrogate for hard outcomes. We obtained deidentified data from the Australia and New Zealand Dialysis and Transplant Registry and studied 7949 transplant...

BACKGROUND Strategies for prevention of liver graft reinfection by hepatitis B virus (HBV) have been developed during recent years. Initially, passive immunoprophylaxis with high titre HBV immunoglobulin (HBIg), followed by lamivudine prophylaxis, and then the combination of lamivudine and HBIg have been employed. However, suboptimal use of the combination may be associated with failure of prop...