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American Transplant Congress abstracts

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  • 2018 American Transplant Congress

    Disparity in Access to Kidney Allograft Offers among HIV+ Transplant Candidates

    J. Cohen,1 J. Locke,2 B. Shelton,2 R. Reed,2 P. MacLennan,2 D. Sawinski.1

    1Renal Division, University of Pennsylvania, Philadelphia, PA; 2Comprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, AL.

    Background: Despite having a demonstrated survival benefit with kidney transplantation, patients with chronic viral infections, such as HCV or HIV, face many barriers to transplantation,…
  • 2018 American Transplant Congress

    Disparate Candidate Selection Practices and Substantial Use of Low KDPI Kidneys in Combined Heart-Kidney and Liver-Kidney Transplantation, 2012-2016

    R. Steiner,1 J. Halldorson.2

    1Transplant Nephrology, University of California at San Diego School of Medicine, San Diego, CA; 2Transplant Surgery, Sharp Memorial Hospital/Balboa Nephrology, San Diego, CA.

    Transplant professionals have struggled to formulate defensible standards for combined heart-kidney and liver-kidney transplantation (HKTs and LKTs). In these recipients, recovery of native renal function…
  • 2018 American Transplant Congress

    Metabolic Therapy as a Platform for CTLA4Ig Costimulation Blockade in Preventing Allograft Rejection

    C-.H. Cheng,1,2 C-.F. Lee,1,2 G. Furtmüller,3 B. Oh,3 C. Patel,1 Y-.C. Lo,1 M. Fryer,3 G. Brandacher,3 J. Powell.1

    1Sidney-Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD; 2Department of Liver and Transplantation Surgery, Chang-Gung Memorial Hospital, New Taipei City, Taiwan; 3Vascularized Composite Allotransplantation Laboratory, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

    The backbone of current immunosuppression regimens remains calcineurin inhibitors (CNI) in association with steroids, mycophenolate mofetil or mTOR inhibitors. However, their long-term administration is associated…
  • 2018 American Transplant Congress

    B Cell Immune Repertoire Sequencing Identifies Pre-Transplant Rejection Risk

    S. Pineda,1,2 T. Sigdel,1 J. Liberto,1 K. Roskin,3 S. Robin,3 M. Sirota,2 M. Sarwal.1

    1Surgery, UCSF, SF; 2ICHS, UCSF, SF; 3Pathology, Stanford, Stanford.

    Background: The diversity of the B cell immune repertoire may drive humoral injury and rejection in organ transplantation (tx).Methods: We utilized advances in next-generation sequencing…
  • 2018 American Transplant Congress

    Recipient HO-1 Deficiency Decreases Post-Transplant Graft HO-1 Expression and Exacerbates Liver Transplant Damage

    S. Kageyama,1 K. Nakamura,1 T. Ito,1 A. Aziz,1 B. Ke,1 R. Sossa,2 E. Reed,2 F. Kaldas,1 R. Busuttil,1 J. Kupiec-Weglinski.1

    1Surgery, Liver Transplantation, UCLA, Los Angeles, CA; 2Pathology, UCLA, Los Angeles, CA.

    Many preclinical studies on protective functions of heme oxygenase-1 (HO-1; hsp32) in orthotopic liver transplantation (OLT) have encouraged application of HO-1 inducing regimens in clinical…
  • 2018 American Transplant Congress

    Alemtuzumab is Associated with Higher Rates of De Novo Donor Specific Antibody (DSA) in Patients with No Pre-Transplant DSA

    N. Bath, S. Parajuli, G. Leverson, M. Jorgenson, J. Fose, T. Ellis, D. Kaufman, A. Djamali, R. Redfield.

    Surgery, University of Wisconsin, Madison, WI.

    Introduction: Basiliximab, alemtuzumab, and thymoglobulin are the most commonly used induction agents in the US. While many centers use depleting antibody induction therapy in patients…
  • 2018 American Transplant Congress

    Modifiable Causes of Racial Disparities in Living Donor Kidney Transplant

    J. Beaumont,1 J. Peipert,1,2 C. Anderson,2 A. Paiva,3 M. Robbins,3 A. Waterman.1,2

    1Terasaki Research Institute, Los Angeles, CA; 2Division of Nephrology, David Geffen School of Medicine at UCLA, Los Angeles, CA; 3Department of Psychology, University of Rhode Island, Kingston, RI.

    Racial disparities between White and non-White patients in receiving living donor kidney transplants (LDKT) are large and widespread. Yet, the causes of this disparity are…
  • 2018 American Transplant Congress

    Retransplantation after Living Donor Liver Transplantation: Analysis of Data from the A2ALL Study

    H. Braun, J. Grab, J. Dodge, S. Syed, G. Roll, C. Freise, J. Roberts, N. Ascher.

    Surgery, University of California, San Francisco, San Francisco, CA.

    Living donor liver transplantation (LDLT) is associated with a higher incidence of post-transplant vascular and biliary complications. Outcomes for retransplantation (reLT) after LDLT are not…
  • 2018 American Transplant Congress

    Increasing Use of Exceptions after Changes to Pediatric Heart Allocation

    A. Robinson,1 W. Mahle,2 R. Davies.3

    1United Network for Organ Sharing, Richmond, VA; 2Children's Healthcare of Atlanta, Atlanta, GA; 3Children's Medical Center of Dallas, Dallas, TX.

    Purpose: Pediatric heart allocation in the United States was changed in 2016. The primary goal was to better align candidate status with waitlist mortality. Whether…
  • 2018 American Transplant Congress

    Pre-Existing Renal Cell Carcinomas in Patients with Polycystic Kidney Disease Undergoing Simultaneous Native Nephrectomy and Living Donor Kidney Transplantation

    M. Aull,1 J. Del Pizzo,2 A. Watkins,1 S. Kapur.1

    1Surgery, Weill Cornell Medical College, New York, NY; 2Urology, Weill Cornell Medical College, New York, NY.

    Due to the structural changes to the kidney that occur in polycystic kidney disease (PKD), imaging tests may not pick up pre-transplant renal cancers in…
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