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Articles tagged "Pediatric"

  • 2018 American Transplant Congress

    Adult-Sized Kidneys Transplanted into Infants and Small Children: Outcomes after Implementing Aggressive Fluid Regimen and Medications to Support Post-Transplant Perfusion

    V. Sigurjonsdottir, P. Grimm, A. Chaudhuri.

    Lucile Packard Children's Hospital, Palo Alto, CA.

    Background: Risk of chronic graft ischemia secondary to hypoperfusion increases with greater disparity between donor and recipient size. At our center, the smallest recipients receive…
  • 2018 American Transplant Congress

    28-Year Cumulative US Experience with Pediatric Living Donor Liver Transplant – How Far Have We Come?

    S. Sharma, K. Barrera, A. Gruessner, R. Gruessner.

    Surgery, State University of New York, Downstate, Brooklyn, NY.

    Introduction: The last 30 years have shown tremendous growth in pediatric liver transplant. Refinements of surgical technique and immunosuppression have improved graft survival. In the…
  • 2018 American Transplant Congress

    Excellent Long Term Outcomes Transplanting Single Pediatric Kidneys from Donors Five Years and Younger into Adult Recipients

    R. Shah,1 M. Aull,2 A. Watkins,2 S. Kapur.2

    1Department of Surgery, Lincoln Medical Center, New York, NY; 2Surgery/Transplant Surgery, NewYork-Presbyterian/Weill Cornell Medical College, New York, NY.

    Pediatric kidneys have been traditionally considered marginal organs for transplantation & are underutilized given concerns of poor outcomes. Furthermore, long term outcomes of single kidneys…
  • 2018 American Transplant Congress

    Inferior Patient and Graft Survival in Highly Sensitized Adult Kidney Transplant Recipients with a Prior Transplant Compared to Pediatric Kidney Transplant Recipients: An Analysis of OPTN Data

    P. Almond,1 S. Al-Akash,1 D. Stewart,2 A. Robinson.2

    1CPSST Departments of Pediatric Surgery and Renal Transplantation, Driscoll Children's Hospital, Corpus Christi, TX; 2UNOS, Richmond, VA.

    Under the current kidney allocation system (KAS), pediatric (PED) renal transplant (RTx) candidates have a priority to kidneys from KDPI <35% donors. However, that excludes…
  • 2018 American Transplant Congress

    Frequency of Whole-Organ in Lieu of Split-Liver Transplantation over the Last Decade: Children Experienced Increased Wait Time and Death

    P. Valentino,1 S. Emre,2 L. Li,3 Y. Deng,3 G. Gan,3 D. Mulligan,2 U. Ekong,1 M. Rodriguez-Davalos.4

    1Pediatrics, Hepatology, Yale University, New Haven, CT; 2Surgery, Transplant, Yale University, New Haven, CT; 3Yale Center for Analytical Sciences, Yale University, New Haven, CT; 4Surgery, Transplant, Primary Children's Hospital, Salt Lake City, UT.

    Background: Organ shortage is a barrier in liver transplantation (LT). Split liver transplantation (SLT) increases organ utilization where a donor provides segmental grafts to 2…
  • 2018 American Transplant Congress

    Temporal Changes in Impact of HLA Mismatch among Pediatric Kidney Transplant Recipients

    J. Ruck, A. Massie, N. Desai, D. Segev, J. Garonzik-Wang.

    Johns Hopkins University School of Medicine, Baltimore, MD.

    U.S. pediatric deceased-donor kidney transplantation (pDDKT) allocation now deemphasizes HLA matching to improve equality in access to transplantation, but other national systems still consider HLA…
  • 2018 American Transplant Congress

    The Role of Resilience in Healthcare Transitions among Adolescent and Young Adult Kidney Transplant Recipients

    S. Quinn,1 H. Fernandez,2 T. McCorkle,1 F. Barg,3 K. Ginsburg, R. Rogers,1 S. Amaral.

    1Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA; 2Medicine, Columbia University, New York, NY; 3Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

    Adolescent and young adult (AYA) kidney transplant (KT) recipients experience high rates of premature allograft loss during healthcare transition (HCT). There is a critical need…
  • 2018 American Transplant Congress

    Intra- versus Extra-Peritoneal Approaches in Renal Transplantation of Adult-Sized Kidneys for Children Weighting under 15kg – A Single Center Study

    T. Mizutani,1 M. Muramatsu,1 Y. Hamasaki,2 Y. Takahashi,2 Y. Itabashi,1 J. Hashimoto,2 Y. Hyodo,1 K. Sakurabayashi,1 T. Kawamura,1 S. Shihido.1,2

    1Nephrology, Toho University Faculty of Medicine, Tokyo, Japan; 2Pediatric Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.

    Purpose:Renal transplantation (RTx) of adult-sized kidneys leads to size-mismatch for small pediatric recipients. The aim of this study reveals the outcomes between intra- and extra-peritoneal…
  • 2018 American Transplant Congress

    Role of Obesity in Pediatric Liver Transplantation

    K. Covarrubias, M. Denhard, X. Luo, J. Garonzik-Wang, A. Cameron, D. Segev, D. Mogul.

    JHU, Baltimore, MD.

    PURPOSE: Pediatric obesity rates are climbing and the prevalence of obesity in children undergoing liver transplantation now exceeds that of the general population. Studies in…
  • 2018 American Transplant Congress

    Outcomes and Risk Factors of Kidney Transplantation from Pediatric Donors to Adult Recipients

    G. Chen, X. Liu, C. Wang, Z. Wu, C. Wang, L. Chen.

    Organ Transplant Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.

    Objective To investigate the outcomes of kidney transplantation from pediatric donors to adult recipients, and explore the risk factors for DGF and graft loss after…
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