Systemic embolism risk factors in kidney transplant recipients during long-term postoperative period
Objective To assess systemic embolism risk factors in kidney transplant recipients, who manifested atrial fibrillation in long-term post-operative period. Materials and methods A prospective cohort study of 175 kidney transplant recipients was carried out in the Republican Scientific and Practical Center of Organ and Tissue Transplantation of the healthcare institution «9 <sup> th </sup> municipal clinical hospital». The risk stratification of ischemic stroke and systemic embolism development was performed using the CHA <sub>2</sub> DS <sub>2</sub> VAS <sub>c</sub> score. Results It was found out that the occurrence of risk factors of thromboembolic complications was high in kidney transplant recipients who had atrial fibrillation in long-term post-operative period; it required indirect anticoagulants prescription in addition to a combined immunosuppressive therapy in 62 % of cases. Conclusion Warfarin prescription in this category of patients was not accompanied with increased frequency of severe hemorrhagic complications in comparison with general population during 3 years of observation.