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Impact of parathyroidectomy on renal graft function, blood pressure and serum lipids in kidney transplant recipients: a single centre study
Author(s) -
Pieter Evenepoel,
Kathleen Claes,
Dirk Kuypers,
Bart Maes,
Yves Vanrenterghem
Publication year - 2005
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfh892
Subject(s) - medicine , transplantation , parathyroidectomy , urology , renal function , endocrinology , parathyroid hormone , blood pressure , secondary hyperparathyroidism , creatinine , hyperparathyroidism , kidney transplantation , kidney , kidney disease , gastroenterology , surgery , calcium
Successful kidney transplantation is believed to reverse secondary hyperparathyroidism, but persistent disease has emerged in a significant number of allograft recipients. Parathyroid hormone (PTH) is not only involved in the aetiology of calcium/phosphate abnormalities and osteitis fibrosa, but it is also a permissive factor in the occurrence of hypertension, cardiovascular damage and dyslipidaemia. In experimental renal failure, abrogation of hyperparathyroidism by administration of a calcimimetic or parathyroidectomy (PTX) attenuates progression of renal failure. To evaluate the impact of PTX on blood pressure (BP), renal graft function and serum lipids, we performed a retrospective case-controlled study in renal graft recipients.

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