A5081875620- Organ Donation and Transplantation
- Organ Transplantation Techniques and Outcomes
- Renal Transplantation Outcomes and Treatments
- Renal and Vascular Pathologies
- Liver Disease and Transplantation
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal disorders and treatments
- Gallbladder and Bile Duct Disorders
- Neurological Complications and Syndromes
- Hepatocellular Carcinoma Treatment and Prognosis
- Viral-associated cancers and disorders
- Lymphatic Disorders and Treatments
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Disaster Response and Management
- Synthesis and Properties of Aromatic Compounds
- Pancreatic and Hepatic Oncology Research
- Gastroesophageal reflux and treatments
- Patient Safety and Medication Errors
- Bladder and Urothelial Cancer Treatments
- Transplantation: Methods and Outcomes
- Congenital Diaphragmatic Hernia Studies
- Genetic and Kidney Cyst Diseases
- Liquid Crystal Research Advancements
- Enhanced Recovery After Surgery
- Pneumocystis jirovecii pneumonia detection and treatment
Virginia Commonwealth University
2019-2023
WinnMed
2022-2023
Mayo Clinic in Florida
2022-2023
University of Nevada, Reno
2012
The formation of boronic esters lowers the LUMO energy hexamethoxytriphenylene by ∼1 V, converting discotic core archetype from electron-rich to electron-deficient. Cyclic voltammetry gives E1/2 reduction values (ca. −1.2 V vs. Fc/Fc+) that are comparable C60, standard electron acceptor in organic electronics. Suitable peripheral functionalization imparts large mesophase temperature ranges. Homeotropic, columnar hexagonal phases with good charge carrier mobilities (up 8 × 10−2 cm2 V−1 s−1) observed.
Expedited out-of-sequence deceased donor kidney allocation is a strategy to avoid discards after early placement attempts have been unsuccessful. Our study aimed assess outcomes and characteristics of these transplanted kidneys.KDPI matching was performed between expedited (EA) standard (SA) transplants at our center.Between 2018 2021, there were 225 EA offers, 189 (84%) transplanted. recipients older (p = .007) had shorter dialysis vintage < .0001). kidneys likely be nationally allocated...
Robotic-assisted live donor nephrectomy (LDN) is being gradually adopted across transplant centers. The left kidney preferred over right due to anatomical factors and ease of procurement. We aimed study recipient outcomes after robotic procurement subsequent open implantation kidneys.All fully LDNs their corresponding transplants performed at our center between February 2016 December 2021 were retrospectively analyzed.Out 196 LDN (49 [right] vs. 147 [left]), 10 (5.1%) donors had...
Tubulocystic renal cell carcinoma (TCC) is a rare and newly recognized variant of carcinoma, which may mimic benign cystic disease the kidney. To our knowledge, we present first reported case patient who, despite standard preoperative workup, developed TCC his native kidney soon after receiving transplantation. He was appropriately treated with nephrectomy has had no signs reoccurrence 7 years postoperatively. Given significant risk malignancy in transplant patients, this emphasizes need for...
Combined heart-liver transplantation (CHLT) is the only curative option for patients with concomitant pathology affecting heart and liver. In some cases, native livers of familial amyloidosis (FA) may be suitable domino into other recipients.Retrospective analysis (2013 to 2019) all CHLT at our center was performed. Continuous data were presented as mean standard deviation discrete variables percentages.Familial indication in 5 out 6 patients. The recipient age 55 ± 5.62 years. Two bridged...
Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver (>5 cm). We present case of a patient rapidly enlarging hemangioma initially managed by surveillance. During her observation period, she developed weight loss, constipation, pancytopenia concerning Kasabach-Merritt Syndrome. Resection was complicated its large size (<mml:math...
Background We sought to understand how safety culture may evolve during disruption, by using the COVID-19 pandemic as an example, identify vulnerabilities in system that could impact patient outcomes. Methods A cross-sectional analysis of transplant personnel at a high-volume center was conducted Safety Attitudes Questionnaire (SAQ). Survey responses were scaled and evaluated pre- post-COVID-19 (2019 2021). Results Two-hundred thirty-eight collected (134 pre-pandemic 104 post-pandemic)....
Bile leak after cholecystectomy is associated with significant comorbidity. Biliary duct variant anatomy can complicate identification and management. We report a very rare presentation of recurrent delayed bile leaks years laparoscopic secondary to missed right posterior sectoral injury. Surgical intervention was required the failure conservative
Introduction: Combined heart and kidney transplant (CHKT) was first described in 1978 (1). Although CHKT is increasing frequency, there are still no guidelines to establish the indications, contraindications sequence for this surgical procedure. Concomitant failure renal insufficiency warrants consideration when estimated GFR < 30-40 mL/min per m2, without necessitating dialysis dependence (2). We present our single center experience with CHKT. Methods: Data were prospectively collected...
Alagille syndrome (AGS) is a disorder that affects the liver, heart, kidneys, and skeleton. Development of hepatocellular carcinoma (HCC) rare in AGS. A 41-y-old male with AGS presented 6 × 8-cm HCC underwent transarterial chemoembolization (TACE) followed by right hepatic lobectomy. One year later, he developed recurrence within Milan’s criteria received deceased donor liver transplant. An interposition iliac artery graft from supraceliac aorta to was needed due celiac axis occlusion noted...
En bloc kidney transplant is a surgical treatment option that increases available donor organs and has excellent graft survival for patients with end-stage renal disease. Herein, we report case of dissection the external iliac artery occurred during en in an adult recipient. The kidneys were removed, flushed, then reimplanted after restoring blood flow to lower limb. To our knowledge, this first managed successfully transplant.
Introduction: Right-sided living donor nephrectomy (LDN) is perceived to be difficult due anatomical factors. Robotic LDN has been reported associated with higher risk of complications (1). A technically challenging robotic could impact recipient allograft outcomes. We aimed study the outcomes right and left renal allografts that were procured robotically transplanted using conventional open technique. Methods: retrospectively analyzed all fully (non-hand assisted) their corresponding kidney...
Introduction: Traditional management during living donor nephrectomies includes intraoperative volume loading to maintain renal perfusion and urine output. Studies have shown that fluid restriction in donor-recipient pairs leads increase delayed graft function after laparoscopic nephrectomy (1). In 2019, our center initiated minimisation as part of an enhanced recovery surgery (ERAS) protocol for all robotic (RLDN). We hypothesized kidney donors may affect their this turn could negatively...
Ruch, Brianna; Kumm, Kayla; Kirk, Wendy Van; Geraghty, PJ; Harbell, Jack W; Aqel, Bashar A; Reddy, Kunam S; Katariya, Nitin N; Mathur, Amit K Author Information
Background: Living donor nephrectomy (LDN) is a challenging procedure. Robotic assisted LDN being increasingly adopted across transplant centers worldwide. Right perceived to be difficult due anatomical factors. We aimed study our outcomes after robotically right and left living nephrectomies. Methods: retrospectively analyzed all fully robotic performed at center between February 2016 December 2018. The of were compared using two-proportion z-test two-sample t-test assuming unequal...
Introduction: Combined heart-liver transplantation (CHLT) remains the only curative option for patients with coincident end-stage heart and liver disease. Due to complexity logistics of procedures, very few centers perform CHLT worldwide. We report our single center outcomes after CHLT. Methods: Retrospective analysis all performed at between 09/2013 12/2019 was done. Continuous variables are expressed using mean (± standard deviation) or median (range). Categorical presented as counts...
Introduction: Six classes of organ donors have been identified: genetically related donors, emotionally altruistic (directed), (non-directed), vendors, and exchangers (1). From 1987 to 2015, there has a progressive decline in the number living biologically (93% 50%) male (45% 38%) kidney United States (2). Non-directed are rare group individuals providing gift life ESRD patients. We aimed evaluate profiles (non-directed) at our center. Materials Methods: A retrospective analysis all donor...
Bile leak after cholecystectomy is associated with significant comorbidity. Biliary duct variant anatomy can complicate identification and management. We report a rare presentation of recurrent delayed leaks years laparoscopic secondary to missed right posterior sector bile injury. Surgical intervention was required failure conservative management