Cardiovascular Diseases & Diagnosis

Simon F. Shakar

Publications

• Review Article
  Management of Calcineurin Inhibitors-Related Chronic Kidney Disease in Cardiac Transplantation
  Author(s): Andreas Brieke, Brian D. Lowes and Simon F. ShakarAndreas Brieke, Brian D. Lowes and Simon F. Shakar
  
  Background: The use of calcineurin inhibitors revolutionized transplantation by prolonging patients’ survival. However, their utility is limited by the development of significant chronic kidney disease. Methods: We reviewed the English literature looking for recent publications regarding the management of chronic kidney disease in cardiac transplant patients. We chose relevant papers based on design, number of patients and clinical utility. Results: Most publications on the subject involve small populations with few prospective, randomized studies. Early use of tacrolimus appears to be associated with better kidney function after one year compared to cyclosporine. Once chronic kidney disease is established, successful strategies include reduction or elimination of calcineurin inhibitors while relying on mycopheno.. Read More»
  DOI: 10.4172/2329-9517.1000117

  Abstract PDF