Alastair Rankin

kidney doctor and wannabe academic.

[Joel M. Topf, MD FACP @kidney_boy]

Last one Tacro or MMF for steroid dependent of frequently relapsing nephrotic syndrome

#KidneyWk

[Alastair Rankin @AlastairRankin1]

@emmaaitken_emma Amazing

[Mehdi Maanaoui @MaanaouiMehdi]

Thrilled to share the results of the KAIAK study published today in @TheLancetEndo Islet transplantation is associated with improved patient and kidney graft survival in patients with #T1D and a kidney transplant @francois_pattou 👉 https://t.co/3yqn3Reo8D @francois_pattou

[Jamie Willows @jamiekwillows]

Nice review of one of my least favourite diagnoses. Not sure I believe it accounts for as many as 1 in 20 cases of urinary tract obstruction though…

[Daniel Coyne @DrDanMO]

I'm excited to see this true GFR measurement drug/device nearing FDA approval.
Imagine injecting a inert fluoroprobe, slapping a pulse-ox like monitor on them and in less than 1 hr knowing their mGFR. You could also monitor for changes in mGFR over12-24h.
https://t.co/qhyS4e7sN1

[Holly Kramer, MD, MPH @kramer_holly]

Good article to revisit after FLOW trial. SGLT2 Inhibitors and the Risk of Acute Kidney Injury in Older Adults With Type 2 Diabetes - American Journal of Kidney Diseases https://t.co/8NQ6NO9kcf @AJKDonline

[Michael Weintraub, MD @MWeintraubMD]

What is the benefit of diagnosing primary aldosteronism?

Diagnosis and surgical cure improves cardiovascular and overall mortality compared to medically controlling blood pressure.

Surgical treatment (ADX) of an aldosterone producing adrenal adenoma ⬇️ 43% all-cause mortality compared to mineralocorticoid antagonist (MRA) treatment

Source: ENDO 2024 Anand Vaidya, MD
https://t.co/w4iVsDIlqL

[Manjula Kurella Tamura @ManjulaKTamura]

In my advanced CKD clinic, this is a common clinical encounter: Mr. Jones is 83 and has chronic kidney failure with a low eGFR. He’s not eligible for a transplant.

[Dominic Summers @DominicMSummers]

If you do more pre-transplant biopsies (@pithia_trial), you find more things. What do they mean for predicting transplant outcome? Latest work from @CUH_Transplant.

https://t.co/XhY7pqLlXs

[Iain Beardsell @docib]

This is not the fault of the excellent @geekymedics but a lack of vision from senior clinicians, academics, universities and examining bodies to move with the times. Surely it’s time for a change and to teach medicine how it is practised now.

[IMCrit @IM_Crit_]

Cardiogenic shock reminder - A management approach:

[Emma Aitken @emmaaitken_emma]

Help me raise £1000 to help us make fistulas for dialysis in Malawi. Please #donate on @justgiving and RT. Thanks! https://t.co/zreFT8fEoX

[Alastair Rankin @AlastairRankin1]

@nephondemand @askrenal @AnieshB @VijayanMD Thank you. Very helpful

[Alastair Rankin @AlastairRankin1]

@askrenal #askrenal if a patient with rapid CKD and hypertension has critical renal artery stenosis bilaterally, but one kidney is normal size and the other is atrophic. Do you stent

[Alastair Rankin @AlastairRankin1]

#interventionalradiology #radialfirst

[Alastair Rankin @AlastairRankin1]

@jamiekwillows I confidently clicked 26 in total denial as to how much stress this would actually cause me IRL. Think patients find it hard too

[Jamie Willows @jamiekwillows]

Hypothetical 50y.o. with diabetic nephropathy (no RAS) losing 5ml/min/yr.

eGFR 46, uACR 400mg/mmol (3500 mg/g), no ‘4 pillar’ meds.

You add max RASi, flozin, nsMRA, GLP1RA.

4 month review - BP good, uACR down >90%. The lowest eGFR you’ll ’tolerate’ without stopping a med is:

[Alastair Rankin @AlastairRankin1]

@hswapnil @jamiekwillows Can you elaborate? What's your strategy/preferred options for intradialytic hypotension? Thanks!

[Swapnil Hiremath @hswapnil.medsky.social @hswapnil]

The FLOW trial results are live at @nejm as well

#ERA24

https://t.co/C6DGQf6wVK

Primary composite kidney ✅
CV Death✅
All cause death ✅
GFR slope ✅
First MACE ✅
Kidney specific composite ✅