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American Transplant Congress abstracts

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  • 2019 American Transplant Congress

    The End of Non-Directed Living Kidney Donation: The National Kidney Registry’s Family Voucher Program

    M. Cooper1, D. Leeser2, S. Flechner3, J. Verbesey1, M. Ronin4, G. Hil4, A. Waterman5, J. Veale5

    1Georgetown Transplant Institute, Washington, DC, 2East Carolina University, Greenville, NC, 3Cleveland Clinic, Cleveland, OH, 4National Kidney Registry, New York, NY, 5UCLA, Los Angeles, CA

    *Purpose: The continued growth of the National Kidney Registry’s (NKR) Voucher program has extended Kidney Paired Donation (KPD) to include chronological incompatibility which is facilitating…
  • 2019 American Transplant Congress

    Improving Medication Adherence and Outcomes in Adult Kidney Transplant Patients Using SystemCHANGETM: Results of the Medication Adherence Given Individual Change (MAGIC) Randomized Clinical Trial

    M. R. Wakefield1, C. M. Ashbaugh2, L. Remy3, D. Aholt3, C. Miller3, S. Ye3, D. K. Hathaway4, D. Clark4, V. S. Staggs5, K. Goggin6, R. J. Ellis7, C. L. Russell3

    1Surgery/Urology, University of Missouri School of Medicine, Columbia, MO, 2Transplant, University of Missouri Health Care, Columbia, MO, 3School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, 4College of Nursing, University of Tennessee HSC, Memphis, TN, 5Health Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, MO, 6Health Services and Outcomes Research, Children's Mercy Kansas City and Schools of Medicine and Pharmacy, University of Missouri-Kansas City, Kansas City, MO, 7School of Nursing, Indiana University, Indianapolis, IN

    *Purpose: Medication non-adherence is an obdurate problem associated with poor outcomes and staggering costs. Even with multi-faceted interventions, effect sizes reported in meta-analyses of medication…
  • 2019 American Transplant Congress

    The Benefit of Kidney Transplantation over the Waitlist Depends on the Patient’s Comorbidities

    A. Andrade Izquierdo1, J. V. Reusing Jr1, V. Onusic1, F. Agena1, F. C. Lemos1, F. de Paula1, F. Gerab2, E. David-Neto1

    1Renal Transplantation Service, Hospital das Clínicas - University of São Paulo School of Medicine, Sao Paulo, Brazil, 2Department of Mathematics, FEI University, Sao Paulo, Brazil

    *Purpose: This study aimed to determine the impact of different comorbidities to the survival benefit of Kidney Transplantation (KTx) compared to waitlisted (WL) patients in…
  • 2019 American Transplant Congress

    Donation after Cardiac Simultaneous Liver-Kidney: An Updated Perspective

    R. Nunez, P. Morgan, A. Mathur, K. S. Reddy, A. Moss, B. Aqel, C. Jadlowiec

    Mayo Clinic AZ, Phoenix, AZ

    *Purpose: Historically, the outcomes from donation after cardiac death (DCD) donors have been shown to be inferior as compared to those of donation after brain…
  • 2019 American Transplant Congress

    Selective CD28 Blockade-Mediated Inhibition of T Follicular Helper Cell and DSA Responses is CTLA-4 Dependent

    G. M. La Muraglia II, M. L. Ford, I. R. Badell

    Emory Transplant Center, Atlanta, GA

    *Purpose: Clinical costimulation blockade of the CD28 pathway in the form of CTLA-4Ig has shown the ability to attenuate T cell dependent DSA responses. However,…
  • 2019 American Transplant Congress

    Hepatitis C Positive Donor to Negative Recipient Kidney Transplantation: A Single Center Real World Experience

    N. Jandovitz, V. Nair, E. Grodstein, E. Molmenti, A. Fahmy, M. Bhaskaran, L. Teperman

    North Shore University Hospital, Manhasset, NY

    *Purpose: Several small studies have shown that transplanting a hepatitis C virus (HCV) negative recipient with a HCV positive donor is feasible in a research…
  • 2019 American Transplant Congress

    Organ Resilience Contributes to Different Impact of Delayed Graft Function (DGF) on Graft Survival in Kidneys Donated by Brain Death (DBD) and Circulatory Death Donors (DCD)

    M. J. de Kok, A. F. Schaapherder, L. G. Wijermars, D. K. de Vries, J. L. Lindeman

    Transplantation Center, LUMC, Leiden, Netherlands

    *Purpose: Despite a tripled higher incidence of DGF in DCD kidney grafts compared to DBD kidney grafts, large studies show equivalent long-term graft survival with…
  • 2019 American Transplant Congress

    Concentric Circles, One Year in: Concentrated Organ Discard and Waitlist Deaths in High Traffic Areas

    R. J. Lynch1, S. Karp2, W. Chapman3

    1Emory, Atlanta, GA, 2Vanderbilt, Nashville, TN, 3Washington University St. Louis, St. Louis, MO

    *Purpose: Lung transplantation was the first organ system to entirely dispense with Donor Service Areas (DSAs) and Regions in favor of 250 nautical mile (NM)…
  • 2019 American Transplant Congress

    Single Cell Analysis of Kidney Allograft Rejection

    C. M. Castro-Rojas1, K. M. Roskin2, C. G. Moore2, B. Abu Jawdeh3, N. Salomonis2, R. R. Alloway4, E. Woodle4, D. A. Hildeman1

    1Immunobiology, Cincinnati Children's Hospital, Cincinnati, OH, 2Biomedical Informatics, Cincinnati Children's Hospital, Cincinnati, OH, 3Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 4Transplantation, University of Cincinnati College of Medicine, Cincinnati, OH

    *Purpose: Rejection therapies (corticosteroids and antilymphocyte globulins) have not changed in over 50 years. In part this is due to a knowledge deficit of signaling…
  • 2019 American Transplant Congress

    Timing and Donor-Specific Antibodies, but Not C4d Deposition, Determine Leukocyte Infiltration in Renal Allograft Biopsies with the Histological Picture of Antibody-Mediated Rejection

    J. Callemeyn1, A. Senev1, E. Lerut2, M. Coemans1, D. Kuypers1, W. Gwinner3, M. Essig4, D. Anglicheau5, P. Marquet6, M. Naesens1

    1Department of Microbiology and Immunology, KU Leuven, Leuven, Belgium, 2Department of Pathology, University Hospitals Leuven, Leuven, Belgium, 3Department of Nephrology, Hannover Medical School, Hannover, Germany, 4Department of Nephrology, Dialysis and Transplantation, University of Limoges, Limoges, France, 5Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France, 6U850 INSERM, University of Limoges, Limoges, France

    *Purpose: Diagnosis of antibody-mediated rejection following kidney transplantation can be challenging, given the limited specificity of individual histological parameters and time-dependent occurrence of histological confounders.…
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