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Articles tagged "Highly-sensitized"

  • 2018 American Transplant Congress

    Immuoadsorption-Based Desensitization in Highly Sensitized Patients Awaiting Deceased Donor Kidney Transplantation.

    C. Bureau, P. Galichon, Y. Luque, N. Ouali, E. Rondeau, C. Rafat.

    Urgences Néphrologiques et Transplantation Rénale, Tenon Hospital, APHP, Paris, France.

    An estimated 30% of patients on the waiting list are deemed highly sensitized due to preexisting anti-HLA antibodies often irrevocably precluding kidney transplantation (KT). Immunoadsorption…
  • 2018 American Transplant Congress

    Sharing Works; Avoiding Kidney Transplantation to an Unintended Recipient by Precision Virtual Cross Match with Excellent Outcomes

    G. Roll,1 A. Webber,1 M. Travakol,1 D. Gae,1 L. Mayen,2 V. Corpuz,1 J. Roberts,1 N. Ascher,1 P. Stock,1 R. Rajalingam.1

    1UCSF, San Francisco; 2Donor Network West, San Ramon.

    Aim: It was recently estimated that 19.2% of imported kidneys go into an unintended recipient(UR), most commonly due to a positive crossmatch(AJT 2017, 17:2139) so…
  • 2018 American Transplant Congress

    Kidney Transplant Outcomes in Patients with CPRA Values > 98% after Implementation of the New OPTN/UNOS Kidney Allocation System (KAS): A Single Center Study Update

    N. Kaur,1 M. Kamoun,2 J. Kearns,2 J. Trofe-Clark,1 P. Abt,3 M. Levine,3 S. Goral.1

    1Department of Medicine, Renal-Electrolyte and Hypertension Division, Hospital of the University of Pennsylvania, Philadelphia; 2Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia; 3Surgery, Hospital of the University of Pennsylvania, Philadelphia.

    Background: Sensitized patients in the past have had prolonged waiting times and greater incidence of death while on the waiting list. On December 4, 2014,…
  • 2018 American Transplant Congress

    Complement Activating HLA Class 2 Antibodies Are Associated with Poor Renal Allograft Survival; Multicentre Study

    A. Babu,1,2 O. Shaw,5 N. Khovanova,2 S. Griffin,4 D. Briggs,6 N. Krishnan,1 S. Fletcher,1 C. Imray,1 A. Seitz,3 R. Baker,3 M. Wellberry-Smith,3 B. Clarke,3 K. Cullen,3 F. Edwards,4 T. Rees,4 E. Burrows,4 L. Howe,5 R. Vaughan,5 N. Kessaris,7 N. Mamode,7 A. Dorling,7 D. Zehnder,1 R. Higgins,1,2 D. Mitchell,2 S. Daga.2,3

    1Renal Transplantation, University Hospitals Coventry, Coventry, United Kingdom; 2University of Warwick, Coventry, United Kingdom; 3Renal Transplantation, St James University Hospital, Leeds, United Kingdom; 4Renal Transplantation, University Hospital of Wales, Cardiff, United Kingdom; 5H&I, Viapath,, London, United Kingdom; 6H&I, NHSBT, Birmingham, United Kingdom; 7Renal Transplantation, Guys and St Thomas Hospital, London, United Kingdom.

    IntroductionRole of Class I and II pre-formed complement activating antibodies on renal outcomes is not well defined. In this multicentre study, we looked at the…
  • 2018 American Transplant Congress

    Ischemia Reperfusion Injury & Risk for Antibody Mediated Rejection (ABMR) in HLA Sensitized Patients Treated with C1 Esterase Inhibitor (C1INH)

    A. Vo,1 O. Aubert,2 J. Choi,1 N. Ammerman,1 H. Edmund,1 A. Peng,1 R. Najjar,1 S. Supreet,1 S. Jordan.1

    1Kidney Transplant, Cedars-Sinai Medical Center, LA, CA; 2Paris Translational Research for Organ Transplantation, Necker Hospital, Paris, France.

    Introduction: Ischemia reperfusion injury (IRI) contributes to delayed graft function (DGF). IRI/DGF in HLA-sensitized (HS) patients likely activates innate and memory injury pathways that may…
  • 2018 American Transplant Congress

    Identifying Patients with CPRA>99.95% Likely to Be Offered Deceased Donor Kidneys

    R. Parsons, S. Bumb, H. Decker, R. Bray, H. Gebel.

    Emory Transplant Center, Atlanta, GA.

    The implementation of the new kidney allocation system and priority of kidneys for cPRA=100% subjects revealed a hierarchy difference in allocation to patients with cPRA=99.45%-100%.…
  • 2017 American Transplant Congress

    Effective Targeting Plasma Cells with Daratumumab (Anti-CD38) and Mozobil (Anti-CXCR4) in a Sensitized Non-Human Primate Model.

    J. Kwun,1 B. Ezekian,1 M. Manook,1 E. Branum,1 V. Curfman,1 J. Park,1,2 K. Freishlag,1 J. Yoon,1 S. Knechtle.1

    1Surgery, Duke Transplant Center, Durham, NC; 2Surgery, Samsung Medical Center, Seoul, Korea

    [Introduction] The presence of donor-specific antibodies (DSA) leads to antibody-mediated rejection (AMR) and decreased graft survival. Therefore efforts continue to be made to reduce DSA…
  • 2017 American Transplant Congress

    A Novel 3-Dimensional Culture System Enables In Vitro Study of Human Bone Marrow Plasma Cells.

    J. Driscoll,1 S. Tremblay,2 S. Knechtle,3 E. Woodle.2

    1Medicine, Univ Cincinnati, Cincinnati, OH; 2Surgery, Univ Cincinnati, Cincinnati, OH; 3Transplant, Duke Univ, Durham, NC

    Purpose: Historically, in vitro study of human plasma cells (PCs) has been greatly limited by their short survival (48-72 hrs). Therefore, systems that maintain viability…
  • 2017 American Transplant Congress

    Pre-Transplant Evaluation of KSORTSM to Assess Risk for Rejection in Highly Sensitized Patients.

    S. Nandoe,1 S. Roedder,3 S. Hsieh,1 T. Sigdel,1 P. Lindner,4 J. Ekberg,4 J. Alberu,5 F. Vincenti,1 M. Sarwal.1

    1UCSF, San Francisco, CA; 2Immucor, Norcross, GA; 3Gothenburg University, Gothenburg, Sweden; 4Salvador Zubiran, Mexico City, Mexico

    Study purpose: To investigate the kSORTSM molecular expression assay for immune risk assessment in renal transplant (tx) recipients prior to tx for correlation of pre-tx…
  • 2017 American Transplant Congress

    Desensitization versus Deceased Donor Kidney Transplantation: What to Choose When Both Become Available?

    B. Orandi,1 X. Luo,2 J. Garonzik-Wang,2 R. Montgomery,3 D. Segev.2

    1UCSF, San Francisco; 2Johns Hopkins, Baltimore; 3NYU, New York

    Kidney allocation system changes have improved deceased donor kidney transplant (DDKT) access for highly sensitized patients. For patients with a willing live donor but requiring…
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