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PTE Secondary after kidney Transplant Experiences

Transplants | Last Active: Apr 19, 2023 | Replies (8)

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@l0lag0lag0b3

Yes Colleen, I do have PTE secondary, the issue is that ARB/ACEI are not able to suppress the EPO, consequence is that the RBC count is not decreasing - which causes the blood to become thick and ultimately resulting in blood clots & possibly a cardiac event. Typically the EPO should be under control in 12 - 18 months ( the GFR has been in upper 70s all the while) but I have not been fortunate with reduction of RBC count . The other alternative is to have phlebotomy done every so often.. problem is that every time you get phlebotomy done the Iron panel parameters drop down drastically. ( I have had phlebotomy done once 500mL but that just lasted for 3 months)

Reason I am looking for experiences in nephrectomy is: There is a debate whether native kidneys nephrectomy should be done before or after the Kidney transplant ... I am interested post kidney transplant - native kidneys nephrectomy experiences.
Regards

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Replies to "Yes Colleen, I do have PTE secondary, the issue is that ARB/ACEI are not able to..."

Thanks for explaining. I think you might be interested in these related discussions by @stephanierp and @jolinda

- PKD Transplants: Did you remove your second kidney? https://connect.mayoclinic.org/discussion/pkd-transplants-did-you-remove-your-second-kidney/
- PKD kidneys removed at time of transplant https://connect.mayoclinic.org/discussion/pkd-kidneys-removed-at-time-of-transplant/