Adult Living Donor Liver Transplantation with ABO-Incompatible Grafts : A German Single Center Experience
Joint Authors
Goralczyk, Armin D.
Schnitzbauer, Andreas
Lorf, Thomas
Scherer, Marcus N.
Obed, Aiman
Doenecke, Axel
Ramadori, Giuliano
Tsui, Tung Yu
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-02-03
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Adult living donor liver transplantations (ALDLTs) across the ABO blood group barrier have been reported in Asia, North Americas, and Europe, but not yet in Germany.
Several strategies have been established to overcome the detrimental effects that are attached with such a disparity between donor and host, but no gold standard has yet emerged.
Here, we present the first experiences with three ABO-incompatible adult living donor liver transplantations in Germany applying different immunosuppressive strategies.
Four patient-donor couples were considered for ABO-incompatible ALDLT.
In these patients, resident ABO blood group antibodies (isoagglutinins) were depleted by plasmapheresis or immunoadsorption and replenishment was inhibited by splenectomy and/or B-cell-targeted immunosuppression.
Despite different treatments ALDLT could safely be performed in three patients and all patients had good initial graft function without signs for antibody-mediated rejection (AMR).
Two patients had long-term graft survival with stable graft function.
We thus propose the feasibility of ABO-incompatible ALDLT with these protocols and advocate further expansion of ABO incompatible ALDLT in multicenter trials to improve efficacy and safety.
American Psychological Association (APA)
Goralczyk, Armin D.& Obed, Aiman& Schnitzbauer, Andreas& Doenecke, Axel& Tsui, Tung Yu& Scherer, Marcus N.…[et al.]. 2010. Adult Living Donor Liver Transplantation with ABO-Incompatible Grafts : A German Single Center Experience. Journal of Transplantation،Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-496534
Modern Language Association (MLA)
Goralczyk, Armin D.…[et al.]. Adult Living Donor Liver Transplantation with ABO-Incompatible Grafts : A German Single Center Experience. Journal of Transplantation No. 2009 (2009), pp.1-8.
https://search.emarefa.net/detail/BIM-496534
American Medical Association (AMA)
Goralczyk, Armin D.& Obed, Aiman& Schnitzbauer, Andreas& Doenecke, Axel& Tsui, Tung Yu& Scherer, Marcus N.…[et al.]. Adult Living Donor Liver Transplantation with ABO-Incompatible Grafts : A German Single Center Experience. Journal of Transplantation. 2010. Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-496534
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496534