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American Transplant Congress abstracts

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  • 2017 American Transplant Congress

    Impact of Donor Genotype on Recipient Tacrolimus Pharmacokinetics: The Liver Matters.

    S. Tremblay,1 T. Fukuda,2 T. Mizuno,2 E. Woodle,1 B. Abu Jawdeh,1 A. Govil,1 U. Christians,3 J. Klawitter,3 A. Vinks,2 R. Alloway.1

    1U of Cinicnnati, Cincinnati; 2Cincinnati Children's, Cincinnati; 3iC42 Clinical Research, Colorado

    Tacrolimus (Tac) is a cornerstone immunosuppressant metabolized in the gut and liver, resulting in high intra/inter patient pharmacokinetic (PK) variability. Recipient genotype (RG) impacts tac…
  • 2017 American Transplant Congress

    Everolimus Is Associated with Less Weight Gain Than Tacrolimus Two Years Following Liver Transplantation: Results of a Randomized Multicenter Study.

    M. Charlton,1 M. Rinella,2 D. Patel,3 K. McCague,3 J. Heimbach,4 K. Watt.4

    1Intermountain Medical Center, Salt Lake City; 2Northwestern University, Chicago; 3Novartis Pharmaceuticals Corp., East Hanover; 4Mayo Clinic, Rochester

    Weight gain after liver transplant may lead to post-transplant complications, and is a risk factor for post-transplant metabolic syndrome (PTMS), cardiovascular events, and renal insufficiency.…
  • 2017 American Transplant Congress

    This is Why We Can't Have Nice Things- Real World Experience with Everolimus in Livers.

    C. Perez,1 J. Fleming,1 M. Sell,1 B. O'Brien,1 A. Rogers,1 I. Lee,1 C. Mardis,1 A. Mardis,1 N. Patel,1 H. Meadows,1 N. Pilch,2 K. Chavin,2 D. Dubay,2 D. Taber.2

    1Pharmacy, Medical University of South Carolina, Chareleston, SC; 2Surgery, Medical University of South Carolina, Charleston, SC

    Purpose: To determine if discontinuation rates of everolimus (RAD) in clinical practice is higher than the 30% demonstrated in trials.Methods: This was a retrospective cohort…
  • 2017 American Transplant Congress

    Liver Transplant Recipients Undergoing Non-Transplant Surgeries and Everolimus Use as Primary Immunosuppressant- Busting the Myth of Wound Infection Due to mTOR Inhibitors.

    S.-C. Hsu, A. Thorat, L.-B. Jeng, H.-R. Yang, P.-C. Li, C.-C. Yeh, T.-H. Chen, K.-S. Poon.

    Organ Transplantation, China Medical University Hospital, Taichung, Taiwan

    Background:Safety of everolimus(EVR)when used at an early stage after living donor liver transplantation (LDLT) was proven by many centers including ours. However, the opponents of…
  • 2017 American Transplant Congress

    An Investigation of Biopsy-Proven De Novo Autoimmune Hepatitis After Hepatitis C Clearance with Direct Acting Antivirals in Liver Transplant Patients.

    R. Sigireddi, J. Moffett, M. Kueht, R. Ackah, A. Rana, C. O'Mahony, J. Goss, S. Dhingra, S. Khaderi.

    Department of Abdominal Transplantation, Baylor College of Medicine, Houston, TX

    Direct acting antivirals (DAAs) for hepatitis C virus (HCV) have been widely prescribed to post-liver transplant patients for HCV clearance and are believed to be…
  • 2017 American Transplant Congress

    Limited Impact of Pre-Existing Donor Specific HLA Antibodies on Long Term Survival After First Adult Liver Transplantation.

    M. Koch,1 M. Marget,2 M. Sterneck,3 H. Thude,1 B. Nashan.1

    1Hepatobiliary Surgery and Transplantation, University Hospital Hamburg Eppendorf, Hamburg, Germany; 2Transfusion Medicine, University Hospital Hamburg Eppendorf, Hamburg, Germany; 3Internal Medicine I, Gastroenterology, University Hospital Hamburg Eppendorf, Hamburg, Germany

    Donor specific antibodies (DSA) are known to play a pivotal role in long term kidney allograft survival. Their importance in liver transplanted patients (LTX) is…
  • 2017 American Transplant Congress

    Effect of Hepatitis C (HCV) Treatment on Rejection Incidence and Severity in Post-Liver Transplant Patients.

    C. Skillin, M. Mba, B. Madani, C. Frenette.

    Organ Transplant, Scripps Clinic, La Jolla, CA

    Introduction: Hepatitis C remains an important source of morbidity and mortality post liver transplant. Little is known about the long term effects of direct acting…
  • 2017 American Transplant Congress

    Rapamycin Maintenance Therapy in Pediatric Liver Transplant Recipients Associated with Trend Toward Decreasing Th2 Cytokine Levels Compared to Tacrolimus Therapy.

    R. Fischer,1 A. Seng,2 L. Gardner,2 L. Steele,2 L. Harvey,1 H. Wasserkrug,1 W. Andrews,1 R. Hendrickson,1 J. Daniel,1 T. Yankee.2

    1Children's Mercy Hospital, Kansas City, MO; 2University of Kansas Medical Center, Kansas City, KS

    Background: Maintenance immunosuppression after liver transplantation with tacrolimus (TAC) may have progressive fibrosis on serial allograft biopsies. mTOR inhibitors such as rapamycin (RAPA) may abrogate…
  • 2017 American Transplant Congress

    Acute Antibody-Mediated Rejection in Pediatric Liver Transplantation.

    C. Eriksen,1 M. Zimmerman,1 J. Kim,1 S. Lerret,2 G. Telega,2 B. Vitola,2 J. Schiller,3 J. Hong.1

    1Dept. of Surgery, Division of Transplant, Medical College of Wisconsin, Milwaukee; 2Dept of Pediatrics, Division of Gastroenterology, Medical College of Wisconsin, Milwaukee; 3Director, Histocompatibility Laboratory, Medical College of Wisconsin, Milwaukee

    Donor-specific antibodies (DSA) and antibody mediated rejection (AMR) are associated with decreased graft survival in pediatric liver transplantation; however, the incidence of AMR is not…
  • 2017 American Transplant Congress

    Course of Inflammatory Bowel Disease Activity in Primary Sclerosing Cholangitis Patients Undergoing Liver Transplantation.

    R. Parekh,1 M. Segovia,2 N. Kaur.1

    1Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI; 2Gastroenterology and Hepatology, Duke University Medical Center, Durham, NC

    Aim: Primary sclerosing cholangitis (PSC) is associated with inflammatory bowel disease (IBD). We aimed to review disease activity of IBD in patients with PSC undergoing…
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