ATC Abstracts

American Transplant Congress abstracts

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  • 2018 American Transplant Congress

    Wait Times for Pediatric Liver Transplantation and the Impact of PELD/MELD Exception

    K. Khan,1 C. Desai,2 F. Thomas,1 K. Alexander.1

    1Transplant Institute, MedStar Georgetown University Hospital, Washington, DC; 2Surgery, University of North Carolina, Chapel Hill, NC.

    Background:In order to even the playing field for patients without liver disease that nevertheless are in urgent need for a liver graft the United Network…
  • 2018 American Transplant Congress

    Evaluation and Cost Burden of Inappropriately Drawn Immunosuppression Trough Levels in the Acute Care Setting at an Academic Medical Center

    A. Brown, J. Geyston, A. Agarwal, B. Jones, W. Ally.

    University of Virginia Health System, Charlottesville, VA.

    Trough drug levels in narrow therapeutic index medications, such as CNI and mTOR inhibitors are used to estimate total drug exposure. Inappropriately measured trough levels…
  • 2018 American Transplant Congress

    What Happened When the 'Soft Opt-Out' to Organ Donation Was Implemented in Wales? Family and Professional Views and Experiences, and Consent Rates for the First 18 Months

    L. Mc Laughlin, J. Noyes, K. Morgan, P. Walton, A. Roberts, M. Stephens.

    Social Sciences, Bangor University, Bangor, Wales, United Kingdom; Major Health Conditions Policy Team, Welsh Government, Cardiff, Wales, United Kingdom; Organ Donation, NHS Blood and Transplant, Cardiff and Liverpool, Wales, United Kingdom; Nephrology and Transplantation, University Hospital of Wales, Cardiff, Wales, United Kingdom.

    On 01.12.15 Wales introduced a 'soft opt-out' system of organ donation.Co-productive, mixed-methods study partnered with NHS Blood and Transplant and patient and public representatives. Data…
  • 2018 American Transplant Congress

    Medicare Part D Plans Deny Coverage for Off-Label and Off-Compendia Immunosuppressant Use: A Case Series

    L. Potter, E. Garrity.

    Pharmacy, University of Chicago Medicine, Chicago, IL; Pulmonary & Critical Care Medicine, University of Chicago Medicine, Chicago, IL.

    Immunosuppressants are a protected drug class under the Medicare Part D benefit, meaning that all drugs in this class must be present on all plan…
  • 2018 American Transplant Congress

    Upper Limb Transplantation in the US: An Early Look at OPTN Data

    J. Wainright,1 L. Levin,2 C. Wholley,1 W. Cherikh,1 D. Klassen,1 L. Cendales.3

    1United Network for Organ Sharing, Richmond, VA; 2Univ of Pennsylvania, Philadelphia, PA; 3Duke Univ School of Medicine, Durham, NC.

    In July 2014, the OPTN assumed responsibility for developing policy for vascularized composite allotransplantation (VCA). This abstract presents initial data collected in upper limb transplantation…
  • 2018 American Transplant Congress

    Re-Endothelialization of Liver Xenografts Utilizing Human Endothelial Cells

    W. Hassanein,1 P. Patel,1 A. Werdsheim,1 J. Brilliant,1 E. Buckingham,1 N. Shockcor,1 C. Drachenberg,2 R. Barth,1 J. LaMattina.1

    1Surgery, University of Maryland, Baltimore, MD; 2Pathology, University of Maryland, Baltimore, MD.

    Introduction:Acute antibody mediated rejection due to preformed antibodies present in human serum remains a hurdle to successful xenotransplantation. Xenograft vascular endothelium represents the initial site…
  • 2018 American Transplant Congress

    IgG De Novo HLA Antibody Subclass Analysis in Patients Undergoing Allograft Nephrectomy after Transplant Failure

    G. Lucisano,1 A. Gueret-Wardle,1 P. Brookes,2 E. Santos-Nunez,2 N. Firmin,2 N. Gunby,2 S. Hassan,1 M. Willicombe,1 D. Taube.1

    1Renal and Transplant Centre, Imperial College Healthcare NHS Trust, London, United Kingdom; 2Histocompatibility and Immunogenetics, Imperial College Healthcare NHS Trust, London, United Kingdom.

    Introduction: different immunising events can stimulate the production of disparate antibody subclass profiles, reflecting a diverse extent of T-cell activation. Transplant nephrectomy (NX) is a…
  • 2018 American Transplant Congress

    Failure to Remove De Novo Donor-Specific HLA Antibodies is Influenced by Antibody Properties and Identifies Kidney Recipients with Late Antibody-Mediated Rejection Destined to Graft Loss

    A. Nocera,1 M. Cioni,1 A. Tagliamacco,2 S. Basso,3 A. Innocente,4 I. Fontana,5 A. Magnasco,1 A. Trivelli,1 A. Gurrado,3 M. Ramondetta,4 S. Boghen,3 L. Catenacci,3 E. Verrina,1 G. Garibotto,2 G. Ghiggeri,1 M. Cardillo,4 F. Ginevri,1 P. Comoli.3

    1Pediatric Nephrology Unit, IRCCS G. Gaslini, Genova, Italy; 2Clinical Nephrology Unit, University of Genova, Genova, Italy; 3Transplant Immunology and Pediatric Hematology/Oncology, IRCCS Policlinico S. Matteo, Pavia, Italy; 4Transplantation Immunology, Ospedale Maggiore Policlinico, Milano, Italy; 5Kidney Transplant Surgery Unit, Ospedale Policlinico San Martino, Genova, Italy.

    Late antibody-mediated rejection (AMR) is the major cause of renal allograft loss. Current research is focusing on identifying a performant risk stratification in order to…
  • 2018 American Transplant Congress

    Flow DSA-XM: Better Crossmatch or Just Different Problems?

    P. Kimball, F. McDougan.

    Surgery, VCUHealth Systems, Richmond, VA.

    Background. Despite the positive impact of flow crossmatching(FCXM) upon alloantibody detection, its inability to distinguish anti-Class I from Class II or non-HLA from HLA-antibodies remain…
  • 2018 American Transplant Congress

    Identification of Novel Genetic Variants Associated with Tacrolimus Metabolism in Kidney Transplant Recipients Using Next Generation Sequencing

    C. Dorr,1,2,3 B. Wu,2 R. Remmel,2 A. Muthusamy,1 D. Schladt,1 J. Abrahante,2 W. Guan,2 R. Mannon,4 A. Matas,2 W. Oetting,2 P. Jacobson,2 A. Israni.1,2,3

    1Minneapolis Medical Research Foundation, Minneapolis; 2Univ. of MN, Minneapolis; 3Hennepin County Medical Center, Minneapolis; 4Univ. of AL, Birmingham.

    Tacrolimus (Tac) pharmacogenomics studies have identified common genetic variants that alter Tac troughs and developed specific dosing strategies for specific populations. Known common variants and…
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