Iliac Artery Occlusion in a Patient With Allograft Renal Transplant Causing Refractory Heart Failure and Simulating Renal Artery Stenosis With Solitary Kidney
Bibliographic record
Abstract
Renal dysfunction after transplant is rare and associated iliac artery stenosis leading to refractory heart failure is extremely rare. Renal artery stenosis in a solitary kidney is known to lead to severe hypertension and acute pulmonary edema. Revascularization with percutaneous transluminal angioplasty of the solitary renal artery stenosis, or its equivalent, can resolve this syndrome and normalize blood pressure and volume status, though the event of hypertension is thought to occur within 15 days of transplant. We describe a case here of iliac artery stenosis with refractory acute heart failure, severe hypertension and threatened renal allograft transplant occurring 3 years after the transplant. Subsequent diagnosis and revascularization were curative. J Med Cases. 2019;10(1):14-17 doi: https://doi.org/10.14740/jmc3218
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".