Cardiovascular and renal outcome in recipients of kidney grafts from living donors

Background. Cardiovascular (CV) risk remains high in renal transplant patients despite a clear improvement conferred by transplantation. This risk is attributed mostly to recipient-related risk factors. Donor vascular characteristics, such as arterial stiffness, have been poorly investigated in this...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Bahous, Sola Aoun (author)
مؤلفون آخرون: Stephan, Antoine (author), Blacher, Jacques (author), Safar, Michel (author)
التنسيق: article
منشور في: 2012
الوصول للمادة أونلاين:http://hdl.handle.net/10725/10753
https://doi.org/10.1093/ndt/gfr578
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://academic.oup.com/ndt/article/27/5/2095/1841343
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author Bahous, Sola Aoun
author2 Stephan, Antoine
Blacher, Jacques
Safar, Michel
author2_role author
author
author
author_facet Bahous, Sola Aoun
Stephan, Antoine
Blacher, Jacques
Safar, Michel
author_role author
dc.creator.none.fl_str_mv Bahous, Sola Aoun
Stephan, Antoine
Blacher, Jacques
Safar, Michel
dc.date.none.fl_str_mv 2012
2019-06-07T08:50:03Z
2019-06-07T08:50:03Z
2019-06-07
dc.identifier.none.fl_str_mv 1460-2385
http://hdl.handle.net/10725/10753
https://doi.org/10.1093/ndt/gfr578
Aoun Bahous, S., Stephan, A., Blacher, J., & Safar, M. (2011). Cardiovascular and renal outcome in recipients of kidney grafts from living donors: role of aortic stiffness. Nephrology Dialysis Transplantation, 27(5), 2095-2100.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://academic.oup.com/ndt/article/27/5/2095/1841343
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Nephrology Dialysis Transplantation
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Cardiovascular and renal outcome in recipients of kidney grafts from living donors
role of aortic stiffness
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Background. Cardiovascular (CV) risk remains high in renal transplant patients despite a clear improvement conferred by transplantation. This risk is attributed mostly to recipient-related risk factors. Donor vascular characteristics, such as arterial stiffness, have been poorly investigated in this regard. Methods. Recipients of living-related (n = 75) and living-unrelated (n = 20) kidney grafts were recruited at a mean time of 107 ± 41 months after transplantation for baseline evaluation and follow-up for the occurrence of the following composite outcome: myocardial infarction, stroke, CV death, doubling of serum creatinine or development of end-stage renal disease (ESRD). At inclusion, recipients and their corresponding donors underwent complete history, physical examination, laboratory tests and non-invasive measurement of aortic pulse wave velocity (PWV). Results. During a mean follow-up of 56 ± 18 months, 20 recipients doubled their serum creatinine, of whom 16 reached ESRD, and 9 suffered of a new CV event (5 of which were fatal). Cox proportional hazards regression analysis showed that, in addition to recipient-related parameters, such as the presence of CV event and the estimated glomerular filtration rate at inclusion, donor aortic PWV was a strong and independent predictor of the composite recipient outcome. Conclusions. Donor large artery stiffness may predict recipient CV and graft outcome. This finding demonstrates the tight link that exists between the vascular system and the kidneys and suggests that donor contribution to recipient outcome goes beyond simple parameters like age, gender and even familial or non-familial donor type.
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identifier_str_mv 1460-2385
Aoun Bahous, S., Stephan, A., Blacher, J., & Safar, M. (2011). Cardiovascular and renal outcome in recipients of kidney grafts from living donors: role of aortic stiffness. Nephrology Dialysis Transplantation, 27(5), 2095-2100.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10753
publishDate 2012
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spelling Cardiovascular and renal outcome in recipients of kidney grafts from living donorsrole of aortic stiffnessBahous, Sola AounStephan, AntoineBlacher, JacquesSafar, MichelBackground. Cardiovascular (CV) risk remains high in renal transplant patients despite a clear improvement conferred by transplantation. This risk is attributed mostly to recipient-related risk factors. Donor vascular characteristics, such as arterial stiffness, have been poorly investigated in this regard. Methods. Recipients of living-related (n = 75) and living-unrelated (n = 20) kidney grafts were recruited at a mean time of 107 ± 41 months after transplantation for baseline evaluation and follow-up for the occurrence of the following composite outcome: myocardial infarction, stroke, CV death, doubling of serum creatinine or development of end-stage renal disease (ESRD). At inclusion, recipients and their corresponding donors underwent complete history, physical examination, laboratory tests and non-invasive measurement of aortic pulse wave velocity (PWV). Results. During a mean follow-up of 56 ± 18 months, 20 recipients doubled their serum creatinine, of whom 16 reached ESRD, and 9 suffered of a new CV event (5 of which were fatal). Cox proportional hazards regression analysis showed that, in addition to recipient-related parameters, such as the presence of CV event and the estimated glomerular filtration rate at inclusion, donor aortic PWV was a strong and independent predictor of the composite recipient outcome. Conclusions. Donor large artery stiffness may predict recipient CV and graft outcome. This finding demonstrates the tight link that exists between the vascular system and the kidneys and suggests that donor contribution to recipient outcome goes beyond simple parameters like age, gender and even familial or non-familial donor type.PublishedN/A2019-06-07T08:50:03Z2019-06-07T08:50:03Z20122019-06-07Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1460-2385http://hdl.handle.net/10725/10753https://doi.org/10.1093/ndt/gfr578Aoun Bahous, S., Stephan, A., Blacher, J., & Safar, M. (2011). Cardiovascular and renal outcome in recipients of kidney grafts from living donors: role of aortic stiffness. Nephrology Dialysis Transplantation, 27(5), 2095-2100.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://academic.oup.com/ndt/article/27/5/2095/1841343enNephrology Dialysis Transplantationinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/107532021-03-19T10:45:16Z
spellingShingle Cardiovascular and renal outcome in recipients of kidney grafts from living donors
Bahous, Sola Aoun
status_str publishedVersion
title Cardiovascular and renal outcome in recipients of kidney grafts from living donors
title_full Cardiovascular and renal outcome in recipients of kidney grafts from living donors
title_fullStr Cardiovascular and renal outcome in recipients of kidney grafts from living donors
title_full_unstemmed Cardiovascular and renal outcome in recipients of kidney grafts from living donors
title_short Cardiovascular and renal outcome in recipients of kidney grafts from living donors
title_sort Cardiovascular and renal outcome in recipients of kidney grafts from living donors
url http://hdl.handle.net/10725/10753
https://doi.org/10.1093/ndt/gfr578
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://academic.oup.com/ndt/article/27/5/2095/1841343