Contraindications to Renal Transplantation
Absolute contraindications |
Active glomerulonephritis |
Active bacterial or other infection |
Active or very recent malignancy |
Overt AIDSa |
Active hepatitis |
Severe degrees of comorbidity (e.g., advanced atherosclerotic vascular disease) |
Relative contraindications |
Severe psychiatric disease |
Moderately severe degrees of comorbidity |
Hepatitis C infection with chronic hepatitis or cirrhosis |
Noncompliance with dialysis or other medical therapy |
Primary renal diseases |
Primary focal sclerosis with prior recurrence in transplant |
Multiple myeloma |
Amyloid |
Oxalosis |
aMost centers consider overt AIDS a contraindication to transplantation; however, transplantation of HIV-positive pts is increasing in frequency.