Department of Internal Medicine, Division of Nephrology and Hypertension
My main clinical interest is in the care of patients with chronic kidney disease (CKD) including patients with end-stage renal disease as well as hypertension and long-term care of patients following kidney transplantation. Caring for patients with CKD starts by managing and controlling risk factors such as hypertension, diabetes, smoking and obesity among others, followed by controlling complications of CKD such as anemia, bone and mineral abnormalities and management of patient on dialysis until renal transplantation can be achieved safely and successfully.
One of my clinical focuses has been on developing measures to protect upper extremities vein injury in patients with advanced CKD preparing for dialysis by avoidance of placement of peripherally inserted central catheters (PICC) in this group. These veins are essential in creation of arteriovenous fistula, which is the preferred access for hemodialysis.
My primary research interest is in the field of kidney transplantation. Specifically, my research focuses on the long-term kidney allograft survival following episodes of acute rejection with a specific focus on histological changes seen following these episodes, such as subclinical inflammation and fibrosis.
My research involves evaluation of long-term outcomes of patients with end-stage liver and kidney disease receiving combined liver and kidney transplant, specifically assessing whether allo-immune kidney graft loss is prevalent among this group of patients compared to patients receiving kidney alone transplant.
Mireille El Ters, M.D.