ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "High-risk"

  • 2019 American Transplant Congress

    Factors Associated with the Acceptance of Livers for Liver Transplantation: Validation of the Discard Risk Index in the Eurotransplant Region

    J. D. Boer1, H. Putter2, J. J. Blok3, N. Cambridge1, S. Van den Berg1, U. Samuel1, G. Berlakovich4, M. Guba5, A. E. Braat3

    1Eurotransplant International Foundation, Leiden, Netherlands, 2Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands, 3Transplant Center, Leiden University Medical Center, Leiden, Netherlands, 4Medical University of Vienna, Vienna, Austria, 5Hospital of the University of Munich, Munich, Germany

    *Purpose: In times of organ shortage it has to be better understood why available livers are not transplanted. This study aims to analyze factors associated…
  • 2019 American Transplant Congress

    Risk Stratification of Patients Undergoing Simultaneous Liver Transplantation and Cardiac Surgery

    T. Diago Uso, G. D'Amico, S. Armanyous, L. Lomaglio, B. Eghtesad, M. Fujiki, F. Aucejo, K. Sasaki, N. K. Menon, M. Fares, M. Tong, K. Hashimoto, C. Miller, C. Quintini

    Cleveland Clinic, Cleveland, OH

    *Purpose: Evaluate risk factors and outcomes of combined liver transplantation (OLT) and cardiac surgery, including coronary artery grafting and valve replacement.*Methods: Between 1/2005 and 8/2018,…
  • 2019 American Transplant Congress

    Specific Reasons for Public Health Service (PHS) Increased Risk (IR) Designation Had Little Influence on Doctors’ Kidney Offer Acceptance Decisions in Controlled “Lab” Experiment

    D. Stewart1, J. Rosendale1, H. McGehee1, J. Schold2, J. Lindemans3, J. Kessler4, C. Sullivan4, K. Mekeel5, R. Stratta6, R. Formica7, D. Klassen1

    1UNOS, Richmond, VA, 2CCF, Cleveland, OH, 3Duke, Durham, NC, 4Wharton, Philadelphia, PA, 5UCSD, San Diego, CA, 6Wake Forest, Winston-Salem, NC, 7Yale, New Haven, CT

    *Purpose: Over 25% of donors are labeled as PHS “increased risk,” a designation associated with reduced organ utilization despite favorable risk/benefit calculations for most patients.…
  • 2019 American Transplant Congress

    Extreme Hyponatremia as a Risk Factor for Early Mortality after Liver Transplantation in the Model for End-Stage Liver Disease-Sodium Period

    H. Mouzaihem, M. Safwan, L. C. Chau, D. Moonka, M. Abouljoud, S. Nagai

    Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI

    *Purpose: While we reported that implementation of MELD-Na based liver allocation improved waitlist outcomes in patients with hyponatremia, its impact on post-transplant outcomes in this…
  • 2019 American Transplant Congress

    Identifying the Proverbial “Needle in the Arm” with Natural Language Processing

    G. R. Vece, J. Foutz, A. Placona

    Department of Research, United Network for Organ Sharing, Richmond, VA

    *Purpose: Donors with a history of IVDU are associated with increased disease transmission risk; However, OPTN forms only request broad historical details relating to donor…
  • 2018 American Transplant Congress

    Outcomes of Organ Transplantation from Donors with Cancer History

    Z. Guo,1 X. He,1 S. Huang.1

    1Organ Transplant Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; 2Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology, Sun Yat-sen University, Guangzhou, China; 3Guangdong Provincial International Cooperation Base of Science and Technology, Sun Yat-sen University, Guangzhou, China.

    Purpose: The inherent challenges of selecting an acceptable donor for each of the increasing numbers and acuity of recipients has led programs to take increased…
  • 2018 American Transplant Congress

    Using the Remuzzi Score to Guide Single vs. Dual Transplantation Mitigates the Risk of Early Graft Failure

    J. Ayorinde, G. Pettigrew.

    Surgery, University of Cambridge, Cambridge, United Kingdom.

    BackgroundExpanded criteria circulatory death donors (DCD) may represent an underutilised donor pool. Our centre has used urgent pre-implantation biopsy (Remuzzi score) to guide single (SKT)…
  • 2018 American Transplant Congress

    Early versus Late Cytomegalovirus Prophylaxis after Kidney Transplant

    M. Harris, J. Byrns, J. Gommer, M. Laub, M. Ellis.

    Duke University Hospital, Durham, NC.

    Background: Prophylaxis against cytomegalovirus (CMV) is recommended in high-risk patients (CMV D+/R-) and those who are CMVR+ and getting T-cell depletional therapy. It is unclear…
  • 2018 American Transplant Congress

    Economic Evaluation of Contemporary Kidney Transplant Practice

    D. Axelrod,1 M. Schnitzler,2 H. Xiao,2 W. Irish,3 J. Tuttle-Newhall,3 S-.H. Chang,4 B. Kasiske,5 T. Alhamad,4 K. Lentine.2

    1Lahey Clinic, Burlington; 2Saint Louis University, St. Louis; 3East Carolina University, Greeneville; 4Washington University, St. Louis; 5Hennepin County, Minneapolis.

    Kidney transplantation (KTx) has been established as the optimal therapy for medically suitable patients with end-stage renal disease, prolonging survival and reducing health care spending.…
  • 2018 American Transplant Congress

    Reducing Discards for Deceased Kidney Donors over Age 50 by Restricting Biopsy Criteria

    C. Hostetler, J. Rogge, B. Nicely, S. Rudich.

    Clinical Division, Gift of Life Michigan, Ann Arbor, MI.

    The placement of kidneys from deceased organ donors of advanced age is an ongoing challenge. An Organ Procurement Organization (OPO) evaluated its discard rate for…
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