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Articles tagged "Pediatric"

  • 2021 American Transplant Congress

    Perivenular Fibrosis After Pediatric Liver Transplant

    J. Lew, S. Cho, S. Feng, E. R. Perito

    UCSF, San Francisco, CA

    *Purpose: Graft fibrosis is a concerning long-term complication after pediatric liver transplant (LT) and though perivenular (PV) fibrosis is common, its likelihood of progression and…
  • 2021 American Transplant Congress

    Liver Simulated Allocation Model Does Not Accurately Predict Organ Offer Decisions in Pediatric Liver Transplant Candidates

    N. L. Wood1, D. B. Mogul2, E. K. Hsu3, E. R. Perito4, G. V. Mazariegos5, D. Vanderwerken1, D. L. Segev2, S. Gentry1

    1US Naval Academy, Annapolis, MD, 2Johns Hopkins, Baltimore, MD, 3Univ of Washington, Seattle, WA, 4UCSF, San Francisco, CA, 5Univ of Pittsburgh, Pittsburgh, PA

    *Purpose: The U.S. relies on the Scientific Registry of Transplant Recipient’s (SRTR’s) Liver Simulated Allocation Model (LSAM) to predict the effect of allocation policy changes…
  • 2021 American Transplant Congress

    Characteristics, Risk Factors, and Outcomes of Neutropenia for the First Year After Liver or Kidney Transplantation in Children

    C. Jarasvaraparn1, S. Choudhury2, C. Rusch2, K. Liss1, J. Stoll1, S. Hmiel3, S. Kulkarni1

    1Pediatric Gastroenterology, Washington University School in St Louis, Saint Louis, MO, 2Pediatric, Washington University School in St Louis, Saint Louis, MO, 3Pediatric Nephrology, Washington University School in St Louis, Saint Louis, MO

    *Purpose: Prior studies in adults have shown that approximately 20-38 % of subjects undergoing solid organ transplant develop neutropenia. In the current study, we characterized…
  • 2021 American Transplant Congress

    Predictors of Prolonged Length of Stay in Pediatric Kidney Transplantation: Changes Over the Last Three Decades

    K. Goli, N. T. Galvan, R. T. Cotton, J. A. Goss, C. A. O'Mahony, A. Rana

    Department of Abdominal Transplantation, Baylor College of Medicine, Houston, TX

    *Purpose: Hospital length of stay (LOS) following kidney transplantation, particularly prolonged LOS, has not shown much improvement since the early 2000s. This study explores changes…
  • 2021 American Transplant Congress

    Paired Surveillance Biopsies Over >4 Years from a Multi-Center Cohort of 78 Long-Term Pediatric Liver Transplant Recipients

    E. R. Perito1, E. Persyn2, J. Bucuvalas3, J. E. Squires4, M. Martinez5, S. Mohammad6, A. J. Demetris4, S. Feng1

    1UCSF, San Francisco, CA, 2King's College, London, United Kingdom, 3Mt. Sinai School of Medicine, NY, NY, 4U of Pittsburgh, Pittsburgh, PA, 5Columbia U, NY, NY, 6Northwestern U, Chicago, IL

    *Purpose: Progressive liver fibrosis threatens graft and patient longevity for children after liver transplantation (LT). Previous studies are limited to single-center, cross-sectional analyses. To address…
  • 2021 American Transplant Congress

    Effect of Multi-Organ Transplant Allocation on Pediatric Kidney Waitlist Candidates

    D. Shepherd, R. M. Engen

    Pediatric Nephrology, Ann & Robert H. Lurie Children's Hospital, Chicago, IL

    *Purpose: Multi-Organ Transplants (MOTs) have variable allocation policies and often take precedence over other waitlist candidates. Lack of defined MOT guidelines divert kidneys to MOT…
  • 2021 American Transplant Congress

    De Novo Donor Specific Antibodies After Heart Transplantation in Fontan Patients with Protein Losing Enteropathy

    D. A. Magnetta1, V. Hoch2, D. Pinelli3, M. Monge4, E. Pahl1, P. T. Thrush1

    1Pediatric Cardiology, Lurie Children's Hospital, Chicago, IL, 2Northwestern School of Medicine, Chicago, IL, 3Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, 4Pediatric Cardiothoracic Surgery, Lurie Children's Hospital, Chicago, IL

    *Purpose: Protein Losing Enteropathy (PLE) complicates Fontan physiology and can be an indication for heart transplantation (HT). PLE is accompanied by immune dysregulation, potentially impacting…
  • 2021 American Transplant Congress

    Improving Allograft Survival by Informing Donor Selection in Kidney Transplant Recipients Under 5 Years Old

    F. Manca Barayre, L. Greenbaum, R. Garro, P. Winterberg, R. Patzer, J. Hogan

    Emory University, Atlanta, GA

    *Purpose: The kidney allocation system aims at allocating high-quality kidneys in pediatric recipients but the KDPI score used to assess the quality of the donors…
  • 2021 American Transplant Congress

    A Pediatric Liver Allograft with an Occult Urea Cycle Defect Carrier Mutation Causing Delayed Graft Function and Metabolic Crisis After Liver Transplantation

    A. Peters, M. Rezvani, C. Prada, K. Campbell

    Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    *Purpose: We report an interesting case of delayed graft function following pediatric liver transplantation, which was attributed to previously unrecognized urea cycle carrier genetic defect…
  • 2021 American Transplant Congress

    Reducing Rejection in Pediatric Kidney Transplantation: The Improving Renal Outcomes Collaborative (iroc)

    C. Varnell1, A. Warmin1, G. Barletta2, C. Belsha3, L. Harshman4, D. Kershaw5, C. Pruette6, S. Ranabothu7, M. Seifert8, P. Singer9, M. Yanik10, K. Rich1, A. Modi1, D. Hooper1

    1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Phoenix Children’s Hospital, University of Arizona, Phoenix, AZ, 3SSM Health Cardinal Glennon Children's Hospital, St Louis, MO, 4University of Iowa Stead Family Children’s Hospital, Iowa City, IA, 5C.S. Mott Children’s Hospital, Ann Arbor, MI, 6Johns Hopkins University School of Medicine, Baltimore, MD, 7Arkansas Children’s Hospital, Little Rock, AR, 8University of Alabama at Birmingham, Children’s of Alabama, Birmingham, AL, 9Cohen Children's Hospital, Brooklyn, NY, 10Levine Children's Hospital, Charlotte, NC

    *Purpose: To study the effect of implementing a Medication Adherence Promotion System (MAPS) on acute rejection (AR) rates in 9 pediatric kidney transplant (KT) programs.*Methods:…
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