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Biomedical subjects

R M Freeman

Publications and source records attributed to R M Freeman.

87 records · Page 5Linked to original sources
PubMedDate not supplied

The use and complications of three peritoneal dialysis catheter designs. A retrospective analysis.

Three types of peritoneal dialysis catheters were used for maintenance peritoneal dialysis access. Seventy-nine single-cuff Tenckhoff catheters, 63 double-cuff Tenckhoff catheters, and 53 Oreopoulos-Zellerman (Toronto-Western) catheters were placed into 147 patients between 1980 and 1984. The double-cuff Tenckhoff catheter proved the most durable of the catheter designs, with a median survival of 19.1 months. Single-cuff catheters exhibited a high risk of failure due to late exit site complications, while surgically placed Oreopoulos-Zellerman catheters often required removal to permit eradication of peritonitis.

Adolescent↗
PubMedDate not supplied

Major factors affecting cadaver renal transplant outcome in a single center.

In this center, 3 major factors have favorably improved cadaver renal allograft survival rates. The good risk recipient has been associated with a better graft survival and lower mortality. This factor cannot easily be controlled because of an increasing percentage of poor risk recipients awaiting transplantation in most major centers. Recipient blood transfusions administered both before transplantation and at the operating table have led to a better allograft survival in our center. Cadaver donor genotyping with haplotype matching of donor-recipient pairs has resulted in an improved graft survival. As sharing of kidneys between centers becomes more common, it is encouraging to note that one method of preservation is not superior to the other.

Blood Transfusion↗