Drs. Robert Stratta, Alan Farney, and Jeffrey Rogers are American Society of Transplant Surgeons (ASTS) Fellowship-trained multi-organ abdominal transplant surgeons specializing in kidney and pancreas transplantation, dialysis access, and general surgery in patients with renal failure. In addition, we are actively involved in managing post-operative immunosuppression, complex infectious disease, critical care, primary care, and long-term management of transplant recipients. We provide transplant care to the full spectrum of patients with end stage renal disease, from pediatric to geriatric candidates. The three of us collectively have more than 50 years of experience in the field of solid organ transplantation.
Comprehensive pre-transplant evaluation and post-transplant care are provided at the AOTP clinic, an outpatient clinic of North Carolina Baptist Hospital, by our highly experienced multidisciplinary team consisting of transplant surgeons, nephrologists, nurse practitioner, nurse coordinators, pharmacists, social workers, financial and data coordinators, and ancillary staff. The clinic is open Monday through Friday and we can accommodate unscheduled visits and can perform laboratory testing/imaging studies and office procedures/treatments within the confines of the clinic building.
The WFUBMC Abdominal Organ Transplant Program (AOTP) performs more than 160 transplants annually and is consistently ranked amongst the top 25 most active kidney transplant programs nationally. Within the Scientific Registry of Transplant Recipients (SRTR) database (a national database that compares our center with regional and national data), our center has higher than expected patient and graft survival rates based on our patient mix, lower than expected waiting times and waiting list mortality, higher rates of organ acceptance and imports, higher rates of transplantation (in nearly all age groups, but particularly in the elderly), greater utilization of expanded criteria donor kidneys, and improved waiting list turnover compared to other programs in our region.
The program has a special interest in transplantation of “high risk” candidates, including patients with coronary artery disease, peripheral artery disease, diabetes, morbid obesity, and adequately controlled chronic viral infections such as HIV and hepatitis C. Desensitization protocols and paired kidney exchanges are available for highly sensitized patients and for patients with crossmatch or blood type incompatible living donors.
The pre-transplant "cycle" time (from initial patient referral to placement on the wait list) is approximately 3 months, which is significantly more efficient than most programs. For patients with potential living donors, a "fast track" or expedited pre-transplant evaluation can be performed, particularly if the patient is either on dialysis or dialysis imminent. Novel immunosuppressive strategies are utilized, with an emphasis on steroid sparing protocols. Over 70% of new transplant patients are steroid-free when they are discharged from the hospital. With the implementation of new inpatient critical pathways, the length of inpatient stay immediately following transplantation has been reduced to 5 days or less in most cases.
For pre-transplant appointments, please call 336-716-0548.