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La biopsia en el trasplante renal: Análisis de los resultados en 5 a?os de trabajo en el Instituto de Nefrología

Keywords: renal transplant, acute renal graft rejection.

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Abstract:

208 kidney biopsies were performed in 197 renal transplants between 2000 and 2004. 31.8 % corresponded to living donors and the rest were from dead donors. hyperacute or acute accelerated rejection was observed in 6 cases (3.1 %), and suspicion of rejection in 15 cases (7.9 %). the type 1 acute rejection was the most frequent. it was found in 20 cases (10.5 %). 16 cases of type 2 and 3 acute rejection (8.3 %) were diagnosed. all the type 3 patients lost the graft function. sclerosing chronic nephropathy was detected in 42 cases (22.1 %). changes that were not considered as rejection were also analyzed. the acute tubular necrosis was the most common in them, since it was found in 71 patients, accounting for 37.5 %.

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