Late Complications after Primarily Successful Renal Transplantation

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Abstract
The occurrence of late renal and extrarenal complications of primarily successful kidney transplantations is surveyed. All cases in which some surgical or clinical complication, a rejection or complication of the treatment of rejection had occurred were omitted. Primarily, 46 of 177 transplantations (26%) were completely successful. After 6 mo., the continued course was entirely uneventful in 21 of these cases, while in 25 some kind of complication occurred 6-72 mo. after the primarily successful course, 19 renal in 17 patients and 23 extrarenal in 16. The complications could not be correlated to histocompatibility, sex, age or basic disease. A favorable course during the first 6 mo. apparently gives good hope of an uneventful continuation, although even serious complications may occur occasionally.

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