24/05/2023
A 54 year female with anti GBM disease, had chronic allograft nephropathy ( kidney failure after transplant) after 11 years of LRKT( live related kidney transplant) (brother was donor) presented to us with 98%PRA ( meaning she will get 2% chance of getting match amongst 100 kidney donors) with high MFI( higher level of antibodies) against multiple HLA antigen while awaiting second kidney transplant for 5 years.
Multiple attempts done to remove anti HLA antibodies by giving IVIG, plasmapheresis , double drug immunosuppression while awaiting transplant by
*Dr Vatsa Patel ,* Nephrologist and transplant physician. After 11 times found positive crossmatch, ultimately recieved successful cadaver donor transplant on 12th attempt,she got lucky to get kidney matched after plasmapheresis. Successfully transplanted in emergency by urologist Dr Kapil Thakkar, Dr Narendra Parekh and Dr Ashish Goti with anesthesia given in emergency by Dr Dhaval Varia. She also got surgically difficult anastomosis because of multiple arteries and oozing wound ,very well managed and finally she discharged home happily with creatinine of 1.4 after 9 days inspite of long cold ischemia time ( kidney remained in ice) of 16 hours.Kidney recieved from Rajkot via SOTTO, Gujarat.
Kudos to Metas Adventist Hospital team for doing 10th Successful transplant headed by transplant physician Dr Vatsa Patel, nephrologist Dr Anil Patel, urologist team Dr Kapil Thakkar, Dr Chirag Patel, Dr Narendra Parekh, Dr Ram Patel.
Anesthesia by Dr Rajiv Pradhan, Dr Yuvraj Chauhan, Dr Dhaval Varia. Without help of Dr Himanshu Mandirwala, Dr Bhavi Shah as radiologist; Dr Harnish Badami and Dr Frenil munim as pathologist and microbiologist, it was not possible.
Meet our transplant coordinator for any further inquiries Mr Pramod Nirmal (7984714880) , Mr Jatin Wagh (9574002122)
pravar superspeciality center is a private neurosurgery and nephrology center.Under the management and founders Dr.prashant G patel and Dr.vatsa P patel.