ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Allocation"

  • 2020 American Transplant Congress

    Waitlist Mortality and Transplant Probability for Inactively Listed Liver Patients Depends on Donor Service Areas’ Median MELD at Transplant

    R. Batra1, S. Noreen2, D. Stewart2, D. Haakinson1, G. Gan3, Y. Deng3, S. Kulkarni1

    1Surgery, Yale University School of Medicine, New Haven, CT, 2UNOS, Richmond, VA, 3Yale University, New Haven, CT

    *Purpose: Presently, the outcome of patients listed inactive on liver transplant waiting list (WL) are unknown; as inactive patients cannot receive deceased donor organ offers,…
  • 2020 American Transplant Congress

    Double or Nothing: Reducing Organ Discards by Preemptive Dualization of ‘at Risk’ Single Kidney Offers

    S. K. Patel1, S. Chang2, R. Plews1, R. Sussman3, D. Disante3, D. Schuster1, P. Nguyen1, R. Lopez-Soler4, D. Conti1

    1Kidney Pancreas Transplant Division, Albany Medical Center, Albany, NY, 2Nephrology, University at Buffalo, Buffalo, NY, 3CDT, Albany Medical Center, Albany, NY, 4Renal Transplant Program, Edward Hines Jr., VA Medical Center, Chicago, IL

    *Purpose: The purpose of this study is to evaluate a protocol designed to (1) enhance early identification of “at risk” single kidney offers (SKO) and…
  • 2020 American Transplant Congress

    Lowering Meld, Diminishing Length of Stay, and Increasing Liver Transplant Numbers Comes Through the Generosity of Others: Declined HCV-NAT Offers Subsequently Transplanted Have Excellent Outcomes

    R. Gilroy, S. Sell, J. Krong, A. Gagnon, I. Zendejas, S. Fujita, M. Rodriguez, D. Alonso

    Transplant Services, Intermountain Healthcare, Murray, UT

    *Purpose: There is variability between programs in the acceptance of organ offers. This paper examines offer, acceptance and program performance with HCV NAT positive donor…
  • 2020 American Transplant Congress

    A Single-Center Analysis of Using Allele-Level 11 HLA Loci Information on cPRA and Organ-Allocation Points in Kidney Transplant Candidates

    C. Maguire1, P. Muluhngwi1, E. Kransdorf2, L. Gragert3, A. R. Tambur1

    1Northwestern University, Chicago, IL, 2Cedars-Sinai Heart Institute, Beverly Hills, CA, 3Tulane University, New Orleans, LA

    *Purpose: Calculated panel reactive antibodies (cPRA) is used by the United Network for Organ Sharing (UNOS) to quantify degree of HLA sensitization and assign priority…
  • 2020 American Transplant Congress

    Change in the Willingness of Transplant Candidates to Accept Hepatitis C Virus Positive Deceased Donor Organs in the Era of Direct-Acting Antivirals

    Q. Yuan, S. Hong, E. Roth, M. Sise, E. Bethea, W. Williams, H. Yeh, N. Elias

    Transplant Center, Massachusetts General Hospital,Harvard Medical School, Boston, MA

    *Purpose: Direct-acting antiviral (DAA) medications’ advent in 2014 very effectively changed the hepatitis C virus (HCV) treatment landscape and allowed post-transplant HCV therapy. We aimed…
  • 2020 American Transplant Congress

    Outcomes of HLAi Transplant in CPRA 98-100 after Desensitization: Single Center Experience

    A. Vo1, E. Huang1, M. Haas2, S. Williamson1, C. Meyers1, A. Peng1, R. Najjar1, S. Sethi1, N. Ammerman1, K. Lim1, M. Gillespie1, S. C. Jordan1

    1Cedars Sinai Medical Ctr, Los Angeles, CA, 2Pathology, Cedars Sinai Medical Ctr, Los Angeles, CA

    *Purpose: The new KAS implementation aimed at increasing equity in organ allocation for broadly sensitized (HS) patients. However, recent data shows that for the most…
  • 2020 American Transplant Congress

    Liver Transplant Waitlist Mortality is Not Associated with Urbanicity

    Y. Chen1, Y. Hung2, Y. Hsu3, C. de Crescenzo1, C. Rickert1, J. Adler4, D. Chang1, H. Yeh1

    1Surgery, Massachusetts General Hospital, Boston, MA, 2Surgery, Sinai Hospital of Baltimore, Baltimore, MA, 3Harvard School of Public Health, Boston, MA, 4Surgery, Brigham and Women's Hospital, Boston, MA

    *Purpose: Because of geographic disparity in transplant rates and organ usage, distance-based liver distribution has been proposed to replace Donor Service Area based distribution. However,…
  • 2020 American Transplant Congress

    Patients in Donor Service Areas with Higher Median MELD at Transplant Have a Lower Probability of Liver Transplant Waitlist Activation

    J. Merola1, S. Noreen2, D. Stewart2, R. Batra1, D. Haakinson1, G. Gan3, Y. Deng3, S. Kulkarni1

    1Yale School of Medicine, New Haven, CT, 2United Network of Organ Sharing, Richmond, VA, 3Yale Center for Analytical Sciences, Yale University, New Haven, CT

    *Purpose: US allocation of hepatic allografts is prioritized based on medical need, however significant geographical disparities exist with median MELD at transplant across donor specific…
  • 2020 American Transplant Congress

    Transplant Center Effect on Acute Liver Failure Outcomes in a National Cohort

    N. Z. Wong, K. R. Reddy, T. Bittermann

    University of Pennsylvania, Philadelphia, PA

    *Purpose: Transplant centers coordinate complex care for patients with acute liver failure (ALF), in whom liver transplantation (LT) can be lifesaving. This study examines associations…
  • 2020 American Transplant Congress

    Hypernatremia Predicts Waitlist Death and Deterioration, but Not Post-Transplant Outcomes in Pediatric Liver Transplant Candidates

    L. Thalji1, N. Thalji2, S. Ibrahim3, J. Heimbach2, P. Kamath4, D. Haile1, D. Kor1

    1Anesthesiology, Mayo Clinic, Rochester, MN, 2Surgery, Mayo Clinic, Rochester, MN, 3Pediatric Gastroenterology, Mayo Clinic, Rochester, MN, 4Gastroenterology, Mayo Clinic, Rochester, MN

    *Purpose: Pre-transplant hypernatremia has been shown to predict post-transplant mortality in adult liver transplant (LT) recipients. The effects of hypernatremia in children, however, remain unexplored.…
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