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Articles tagged "Pediatric"

  • 2018 American Transplant Congress

    Distribution of Biopsy Proven Acute Rejection in a Large Pediatric Kidney Transplant Program: A Four Year Experience

    C. Varnell, Jr.,1 A. Carle,2,3 D. Hooper.1,2,3

    1Division of Nephrology & Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 2James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; 3Department of Pediatrics, University of Cincinnati, Cincinnati, OH.

    Introduction: Kidney biopsy is the gold standard for diagnosing rejection, transplant glomerulopathy, and other pathology after transplantation. We aimed to understand the distribution of Banff…
  • 2018 American Transplant Congress

    Psychosocial Assessment of Candidates for Transplantation (PACT) Identifies Non-Adherence in Pediatric Kidney Transplantation

    K. Freischlag,1 V. Chen,2 S. Nagaraj,2 A. Chua,2 E. Chambers.2

    1School of Medicine, Duke University, Durham, NC; 2Pediatrics, Duke University, Durham, NC.

    Background: We have demonstrated that overall pre-transplant Psychosocial Assessment of Candidates for Transplantation (PACT) scores can identify high risk pediatric kidney recipients. In this pilot…
  • 2018 American Transplant Congress

    BK Polyomavirus (BKPyV)-Specific T Cells as a Diagnostic and Prognostic Marker for BKPyV-Infections after Pediatric Kidney Transplantation

    T. Ahlenstiel-Grunow,1 M. Sester,2 U. Sester,3 L. Pape.1

    1Pediatric Nephrology, Hannover Medical School, Hannover, Germany; 2Transplant and Infection Immunology, Saarland University, Homburg, Germany; 3Internal Medicine IV, Saarland University, Homburg, Germany.

    After kidney transplantation (KTx) immunosuppressive therapy causes an impaired cellular immune defense resulting in an increased risk of BKPyV-nephropathy (BKPyVAN). Prognostic markers for the outcome…
  • 2018 American Transplant Congress

    T cell Phenotypes Predict Infectious Risk in Transplanted Children

    E. T. Chambers,1 R. Ettenger,2 H.-J. Lee,1 C. Chan,1 L. Stempora,1 B. Warshaw,3 P. Grimm,4 E. F. Reed,2 M. Sarwal,5 A. Kirk.1

    1Pediatrics/Surgery, Duke University, Durham; 2Pediatrics, UCLA, Los Angeles; 3Pediatrics, Emory, Atlanta; 4Pediatrics, Stanford, Palo Alto; 5Surgery, UCSF, San Francisco.

    AIM: Current monitoring strategies do not adequately differentiate infection from complications such as allograft rejection (AR). We aimed to identify peripheral T cell phenotypes that…
  • 2018 American Transplant Congress

    High Tacrolimus Variability is Associated with Worse Outcomes in Pediatric Renal Transplant Recipients

    S. Solomon, M. Del Rio, A. Colovai, N. Hayde.

    Montefiore Medical Center, Bronx, NY.

    Background: Subtherapeutic tacrolimus trough concentrations are associated with donor specific antibody (DSA), acute rejection and shortened graft survival. The role of intrapatient variability in tacrolimus…
  • 2018 American Transplant Congress

    Age Difference between Donor and Recipient Predisposes to Early Interstitial Fibrosis and Tubular Atrophy in Pediatric Kidney Transplantation

    S. Panombualert, M. Pearl, P. Weng, R. Ettenger.

    Pediatric Nephrology, David Geffen School of Medicine at UCLA, Los Angeles, CA.

    Introduction: Previous studies in adult kidney transplant recipients (KTRs) have shown that an increased age difference between donor and recipient increases the risk of arterial…
  • 2018 American Transplant Congress

    Pediatric Kidney Allograft Outcomes Following Identification of Transplant Glomerulopathy by Electron Microscopy

    J. Grodsky, R. Craver, I. Ashoor.

    LSU Health Sciences Center, New Orleans, LA.

    We have previously shown that electron microscopy (EM) can facilitate early diagnosis of transplant glomerulopathy (TG) in pediatric kidney transplant biopsies (Bx) with normal light…
  • 2018 American Transplant Congress

    Transplant Cost Reduction in a Developing Country: “The Case of Guatemala”

    S. Méndez,1 B. Remey,2 E. Reyes,1 A. Aguilar-González,1 R. Lou-Meda.1

    1Servicio de Nefrología, Hipertensión, Diálisis y Trasplante Hospital Roosevelt/FUNDANIER, Guatemala, Guatemala; 2Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, Guatemala, Guatemala.

    Background: Guatemala, south-west of Mexico has a population of approximately 16 million people of which 60% are younger than 20 years. As any other developing…
  • 2018 American Transplant Congress

    Improved Renal Allograft Survival for Pre-Emptive Paediatric Renal Transplant Recipients in the United Kingdom

    M. Marlais,1 K. Martin,2 S. Marks.1

    1Paediatric Nephrology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom; 2NHS Blood and Transplant, Bristol, United Kingdom.

    OBJECTIVESThe aim of this study was to investigate whether being on dialysis at the time of renal transplantation affected renal allograft survival in paediatric renal…
  • 2018 American Transplant Congress

    Immune Phenotyping in a Pediatric Multicenter Transplant Study: Suitability of a Pre-Formulated Dry Antibody Panel System

    S. Urschel,1 L. Ionescu,1 T. Blydt-Hansen,3 B. Foster,5 S. Mital,2 U. Allan,2 S. Iveson,3 L. Hamiwka,4 J. Yap,1 V. Phan,5 P. Birk,6 L. West,1 M. Levings.3

    1U of Alberta, Edmonton, Canada; 2Sickkids, Toronto, Canada; 3U of BC, Vancouver, Canada; 4U of Calgary, Calgary, Canada; 5Montreal Children's, Montreal, Canada; 6U Manitoba, Winnipeg, Canada.

    Background:Flow cytometric immune-phenotyping is influenced by cryopreservation and inter-laboratory variability limiting comparability in multi center studies. The Duraclone™ system (DC) provides optimized pre-mixed dry antibody…
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