ATC Abstracts

American Transplant Congress abstracts

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  • 2018 American Transplant Congress

    Mortality and ESRD in Older Live Kidney Donors with Hypertension

    F. Al Ammary,1 X. Luo,1 A. Muzaale,1 A. Massie,1 D. Brennan,1 A. Wiseman,2 J. Snyder,3 D. Segev.1

    1Johns Hopkins, Baltimore; 2University of Colorado, Aurora; 3SRTR, Minneapolis.

    Hypertension in otherwise healthy screened older kidney donor candidates is viewed as relatively benign, yet the long-term outcome of older donors with hypertension is unclear.…
  • 2018 American Transplant Congress

    Use of Surgically Placed Transversus Abdominis Plane (TAP) Block Catheter with Local Anesthetic Infusion in Renal Transplantation

    M. Dib,1 S. Borden,2 T. Schell,1 P. Stahler,1 T. Al-Qaoud,1 E. Martinez,1 E. Grodstein,1 A. D'Alessandro,1 J. Odorico,1 L. Fernandez,1 J. Mezrich,1 R. Redfield,1 D. Foley,1 D. Al-Adra,1 D. Kaufman.1

    1Surgery, University of Wisconsin-Madison, Madison, WI; 2Anesthesia, University of Wisconsin-Madison, Madison, WI.

    BackgroundRenal transplant recipients have limitations in pain management, given the nephrotoxicity of NSAIDS and contraindications to regional neuroaxial techniques. Although opioids are widely used post-transplant,…
  • 2018 American Transplant Congress

    T Cell Exhaustion Contributes to Operational Tolerance of Liver Allografts in Pediatric Liver Transplant Recipients

    B. Ramaswami,1 M. Marrari,2 O. Yoshida,5 X. Guo,3 W. Hoffman,3 C. Bentlejewski,2 D. Metes,1 A. Demetris,1,2 A. Zeevi,2 A. Thomson,1 G. Mazariegos,4 G. Chalasani.1,3

    1Surgery, Starzl Transplantation Institute, Pittsburgh, PA; 2Pathology, University of Pittsburgh, Pittsburgh, PA; 3Medicine, University of Pittsburgh, Pittsburgh, PA; 4Children's Hospital, University of Pittsburgh, Pittsburgh, PA; 5Gastroenterology, Ehime University Graduate School of Medicine, Toon-shi, Ehime-ken, Japan.

    Operational tolerance in the absence of immunosuppression can be successfully attained in pediatric liver transplant recipients. Although DSA are observed in a proportion of operationally…
  • 2018 American Transplant Congress

    Medication Adherence: Does Where You Live Matter?

    S. Wadhwani,1 S. Taylor,1 C. Brokamp,1 W. Guo,1 E. Shemesh,2 J. Bucuvalas.1

    1Cincinnati Children's Hospital Medical Center, Cincinnati; 2Mount Sinai School of Medicine, New York.

    Background & Objectives: Medication non-adherence remains problematic in pediatric liver transplant (LT)[mdash]estimates suggest that up to 53% of adolescents are non-adherent. We leveraged data from…
  • 2018 American Transplant Congress

    Transplantation Tolerance Prevents CMV Reactivation and Preserves Kidney Allograft Function in a D+/R- Transplant Setting

    A. Dangi,1 J-.J. Wang,2 M. Burnette,1 Z. Zhang,2 X. Luo.1,2

    1Division of Nephrology and Hypertension, Department of Medicine, Northwestern University, Chicago, IL; 2Comprehensive Transplant Center, Department of Surgery, Northwestern University, Chicago, IL.

    Background: Immune responses to cytomegalovirus (CMV) infection may precipitate acute/chronic graft rejection in immunocompromised transplant recipients. CMV infection can be primary or its reactivation from…
  • 2018 American Transplant Congress

    Upregulated IL-33 in Heart Transplants Modulates Local Myeloid Populations to Protect against Chronic Allograft Rejection

    Z. Zhang,1 Q. Liu,1 G. Hussey,2 J. Dziki,2 L. Mathews,1 H. Dai,1 G. Dwyer,1,3 A. Lucas,1 M. Oberbarnscheidt,1 S. Badylak,2 H. Turnquist.1,3

    1University of Pittsburgh, Starzl Transplant Institute, Pittsburgh, PA; 2University of Pittsburgh, McGowan Institute for Regenerative Medicine, Pittsburgh, PA; 3Immunology, University of Pittsburgh, Pittsburgh, PA.

    Purpose: Interleukin-33 (IL-33) is an “alarmin”, or a self-derived molecule that triggers pleotropic immune responses after release from damaged tissue. Yet, how IL-33 shapes alloresponses…
  • 2018 American Transplant Congress

    Multi-Organ (M-O) Prioritization of Kidneys: ? Time for Policy Modification

    M. Aeder, N. Turgeon.

    Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH; Surgery, Emory University, Atlanta, GA.

    The revised Kidney Allocation System (KAS) has been operational for 3 years. The bolus effects seen early following the introduction have abated and a steady…
  • 2018 American Transplant Congress

    Frailty is Predictive of Early Post-Transplant Infection in Older Renal Transplant Recipients

    M. Malinis,1 C. Ogbejesi,2 J. Luo,3 Y. Zhang,3 W. Asch,4 R. Deshpande,5 S. Akhtar.5

    1Section of Infectious Diseases, Yale School of Medicine, New Haven, CT; 2College of Medicine, Central Michigan University, Mount Pleasant, MI; 3Section of Surgical Outcomes and Epidemiology, Department of Surgery, Yale School of Medicine, New Haven, CT; 4Section of Nephrology, Yale School of Medicine, New Haven, CT; 5Department of Anesthesiology, Yale School of Medicine, New Haven, CT.

    Background: Frailty is predictive of postoperative morbidity, including infections in older surgical patients. It is not known if frailty is associated with post-operative infections in…
  • 2018 American Transplant Congress

    Medullary Tissue Sampling in Renal Allograft Biopsy is More Sensitive for Pathologic Diagnosis of PVN

    D. Abdelwahab,1 H. Khamash,1 S. Kriegshauser,3 R. Heilman,1 M. Smith.2

    1Nephrology and Transplant, Mayo Clinic, Phoenix; 2Pathology and Laboratory Medicine, Mayo Clinic, Phoenix; 3Radiology, Mayo Clinic, Phoenix.

    Background Post-transplant polyoma virus nephropathy (PVN) prevalence is 1-10%. Definitive PVN diagnosis requires polyoma virus presence in infected cells, done with immunohistochemical staining for SV40…
  • 2018 American Transplant Congress

    Broader Geographic Sharing and Impact on Lung Transplant Waitlist Time and Lung Allocation Score

    W. Tsuang, M. Budev.

    Cleveland Clinic, Cleveland.

    Background: Donor lungs are preferentially offered to patients within a local geographic area before being offered to a broader region. This algorithm may prevent patients…
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