The influence of regular exercise training on kidney transplant recipients' health and fitness condition.

BACKGROUND: There is no data available explaining the correlation between the intensity of exercise training and kidney transplant recipients' health and fitness condition. MATERIAL AND METHODS: A retrospective study was performed using a questionnaire form. The questionnaire was filled out by members of the Polish department of the World Transplant Games Federation and the Polish Association of People on Dialysis and After Kidney Transplantation. 167 patients (Age: 36 ± 11 yrs, Males: 52%) were enrolled in the study. RESULTS: Even two hours of exercise per week after the transplantation statistically significantly ameliorated the recipients' self-reported health (p = 0.007) and fitness condition (p < 0.0001). The amount of time devoted weekly to sports positively correlated with the patient's health and fitness condition (p = 0.00325 and p = 0.00123 respectively). People who did not exercise had higher BMI levels than those who practiced sports (25.8 ± 5.2 and 24 ± 3.99 respectively, p = 0.0003) but the weekly training time did not correlate with the BMI of kidney transplant recipients (r = -0.08, p = 0.275). CONCLUSIONS: Regular physical activity did not deteriorate the graft's function in the examined patients. The results of this study bring us to the conclusion that physical activity can be recommended for all kidney transplant recipients that do not have other serious comorbidities which would restrain them from practicing sports.

[Synthetic endovascular prostheses in the treatment of the aortic dissection]. / Syntetyczne protezy wewnatrznaczyniowe stosowane w leczeniu rozwarstwienia aorty.

Endovascular technique using endovascular prostheses called stent-grafts offers less invasive new method of the aortic dissection. Assessment of endovascular aortic dissection type B treatment effectiveness, complications and mortality frequency associated with this technique. Among 33 patients (24 men -- 73% and 9 women -- 27%, aged 19-76 years (average [+/- SD]. Underwent endovascular stent-grafts implantation procedures using 3 types of grafts: Zenith (2 prostheses -- 13,3%), Talent (11 prostheses -- 73,3%) and Valiant (2 prostheses --13,3%). The diameter of proximal end of stent-graft ranged from 34 to 42 mm (mean 37,6 +/- 3,44 mm), length -- from 130 to 230 mm (mean 183,6 +/- 37,42 mm). Endovascular technique is promising strategy of aortic dissection type B treatment. Stent-graft application faces up to general aspiration to minimize extension and traumatization of surgical procedures, to reduce peri- and postoperative complications, decrease hospitalization and convalescence period. Endovascular technique is the only available method that interferes in the elementary mechanism of the aortic dissection pathogenesis. Through the initiation of natural repair process (thrombosis of the false lumen), as a result of coverage of the primary entry tear, ensures remodeling and stabilization of the aortic wall.

[The use of a synthetic vascular artificial prosthesis or arterial homograft in cases of patients with the arteriosclerosis and terminal insufficiency of kidney cured by the kidney transplantation]. / Stosowanie syntetycznej protezy naczyniowej lub homograftu tetniczego u chorych z miazdzyca i terminalna niewydolnoscia nerek leczonych przeszczepem nerki.

Arterial transplantations were practiced in the vascular surgery since the beginning of her formation but without successes in the distant observation. Transplantation of a kidney is a routine conduct in the treatment of the decadent incapacity of a kidney. The dissertation concerns a use of arterial allografts kept using a method of a cold ischaemia in the protective liquid or synthetic vascular dacron artificial limbs or PTFE used as arterial foot-bridges at patients with the atherosclerotic obstruction aortal-pelvic, treated with the kidney transplantation. The arterial transplant is created from the aorta, arteria iliacas common and externa, femoral arteries common and superficial. A tissue material is kept using the method of the cold ischaemia and practical as the aortal foot-bridge-femoral or aortal-two-femoral at classified earlier patients being subjecteds to transfusion. The other way of a transplantation of a kidney at patients with the arteriosclerosis is the realization earlier or one-temporarily the vascular foot-bridge with use of the synthetic artificial limb. It seems that vascular artificial limbs about enlarged resistance on the contagion should be used in such a case. Sonographic examinations with duplex doppler and angiography are performed in all cases. The analysis of such cures can make a creation of the most profitable algorithm of the conduct possible in cases of patients suffering from ischaemia of lower limbs and requiring a transplantation of a kidney because of its incapacity.