Acute kidney injury during pregnancy in kidney transplant recipients

被引：12

作者：

Yadav, Anju ^{[1
]}

Salas, Maria Aurora Posadas ^{[2
]}

Coscia, Lisa ^{[3
]}

Basu, Arpita ^{[4
,5
]}

Rossi, Ana Paula ^{[6
]}

Sawinski, Deirdre ^{[7
]}

Shah, Silvi ^{[8
]}

机构：

[1] Thomas Jefferson Univ, Dept Med, Div Nephrol, Philadelphia, PA USA

[2] Med Univ South Carolina, Dept Med, Div Nephrol & Hypertens, Charleston, SC USA

[3] Gift Life Inst, Transplant Pregnancy Registry Int, Philadelphia, PA USA

[4] Emory Univ, Div Transplant, Atlanta, GA USA

[5] Emory Univ, Div Nephrol & Hypertens, Atlanta, GA USA

[6] Piedmont Transplant Inst, Atlanta, GA USA

[7] Weill Cornell Coll Med, Div Nephrol & Transplantat, New York, NY USA

[8] Univ Cincinnati, Dept Med, Div Nephrol, Cincinnati, OH 45267 USA

来源：

CLINICAL TRANSPLANTATION | 2022年 / 36卷 / 05期

基金：

美国国家卫生研究院;

关键词：

acute kidney injury; kidney transplant; pregnancy; CLINICAL-PRACTICE GUIDELINE; OUTCOMES; CARE; DIALYSIS; IMPACT; AKI;

D O I：

10.1111/ctr.14668

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Pregnancy-related acute kidney injury (AKI) is a public health problem and remains an important cause of maternal and fetal morbidity and mortality. The incidence of pregnancy-related AKI has increased in developed countries due to increase in maternal age and higher detection rates. Pregnancy in women with kidney transplants is associated with higher adverse outcomes like preeclampsia, preterm births, and allograft dysfunction, but limited data exists on causes and outcomes of pregnancy-related AKI in the kidney transplant population. Diagnosis of AKI during pregnancy remains challenging in kidney transplant recipients due to lack of diagnostic criteria. Management of pregnancy-related AKI in the kidney transplant population requires a multidisciplinary team consisting of transplant nephrologists, high-risk obstetricians, and neonatologists. In this review, we discuss pregnancy-related AKI in women with kidney transplants, etiologies, pregnancy outcomes, and management strategies.

引用

页数：9

共 40 条

[1] Successful pregnancy and delivery after simultaneous islet-kidney transplantation [J].