Martin P, Errasti P. Trasplante renal. An Sist Sanit Navar 2006;29 Suppl 2:79-91.
The kidney transplant is the therapy of choice for
the majority of the causes of chronic terminal kidney
insufficiency, because it improves the quality of life and
survival in comparison with dialysis. A kidney transplant
from a live donor is an excellent alternative for
the young patient in a state of pre-dialysis because it
offers the best results.
Immunosuppressive treatment must be individualised,
seeking immunosuppressive synergy and the
best safety profile, and must be adapted to the different
stages of the kidney transplant.
In the follow-up to the kidney transplant, cardiovascular
risk factors and tumours must be especially
taken into account, given that the death of the patient
with a working graft is the second cause of loss of the
graft following the first year of the transplant.
The altered function of the graft is a factor of independent
cardiovascular mortality that will require follow-
up and the control of all its complications to postpone
the entrance in dialysis.