Indications for kidney transplantation

  • End stage renal disease 

Factors that can rule out kidney transplantation

  • Severe and/or uncorrectable coronary artery disease.
  • Severe cardiomyopathy (resulting in a very poor risk for general anesthesia).
  • Serious active infection (for example, pulmonary tuberculosis, osteomyelitis, peritonitis or infected hemodialysis graft).
  • Recent cancer, such as colon, breast or pulmonary. Exceptions are skin cancers with evidence of complete excision. Patients may be considered for a renal transplant after a disease free interval. Additional considerations are the invasiveness of the tumor and the patient’s age.
  • Severe and/or uncorrectable peripheral vascular disease. Patients may be considered candidates after bypass surgery, angioplasty, or other therapy.
  • Severe and/or uncorrectable pulmonary disease, such as advanced emphysema, pulmonary hypertension.
  • Active peptic ulcer disease. A history of peptic ulcer disease is not a contraindication.
  • A history of diverticulitis. These patients should have a prophylactic colon resection prior to a renal transplant.
  • Current drug and/or excessive alcohol abuse. (Patient may be considered after a six month abstinence with psychiatric evaluation and negative drug test).
  • Serious and incapacitating mental illness or mental deficiency such that the person has very limited ability to comply with a complex medical regimen. Exceptions may be considered, after appropriate treatment or health care arrangements.
  • Repeated noncompliance with medical regimen, and/or repeated failure to keep dialysis treatment appointments.
  • Confirmed infection with HIV.
  • Other infectious processes such as active hepatitis, TB, etc.
  • Advanced age is a relative contraindication. Patients in a 65 to 70 year old range may be considered candidates, providing their health is good (other than renal disease). A baseline cardiac evaluation including an echocardiogram is required.