Complexities and outcomes of pulmonary hypertension in kidney transplant patients: a comprehensive review

Turkish J Nephrol. 2024 Jan;33(1):8-26. Epub 2024 Jan 5.

Abstract

Pulmonary hypertension (PH) is often present in patients presenting for kidney transplant listing. While PH can complicate kidney transplant (KTx), with multidisciplinary management that includes both the transplant center and pulmonary hypertension center or experts both pre- and post-transplant. This review summaries the approach and management of PH in KTx candidates and recipients, along with expected outcomes and controversies surrounding arteriovenous fistula and graft management.

Keywords: Dialysis access; Echocardiogram; Kidney transplant; Pulmonary arterial pressure; Pulmonary hypertension; Right heart catheterization; Vascular access.