ABO-incompatible Kidney Transplantation in Children
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We designed a new protocol to enable safe ABO-incompatible kidney transplantation. The new protocol utilizes antigen-specific immunoadsorption rather than unspecific plasma exchange to remove existing anti A/B antibodies and rituximab rather than splenectomy to prevent rebound of antibodies. Sixty patients have so far been successfully transplanted with this protocol and 10 of those have been children. When compared with ABO-compatible transplantations, we could not find any differences in success rate, renal function, or adverse events.
Kim J, Kwon H, Ko Y, Jung J, Kwon H, Kim Y BMC Nephrol. 2024; 25(1):410.
PMID: 39543527 PMC: 11566057. DOI: 10.1186/s12882-024-03842-1.
Paessler A, Stojanovic J Transpl Int. 2023; 36:11613.
PMID: 37789915 PMC: 10542673. DOI: 10.3389/ti.2023.11613.
Successful ABO and HLA incompatible kidney transplantation in children in the UK.
Hew E, Kessaris N, Stojanovic J, Jones H, Christian M, Edwards A Pediatr Nephrol. 2022; 38(2):529-535.
PMID: 35695967 PMC: 9763153. DOI: 10.1007/s00467-022-05583-5.
A donor risk index for graft loss in pediatric living donor kidney transplantation.
Wasik H, Pruette C, Ruebner R, McAdams-DeMarco M, Zhou S, Neu A Am J Transplant. 2019; 19(10):2775-2782.
PMID: 30875148 PMC: 6745273. DOI: 10.1111/ajt.15360.
Current progress in ABO-incompatible kidney transplantation.
Koo T, Yang J Kidney Res Clin Pract. 2015; 34(3):170-9.
PMID: 26484043 PMC: 4608875. DOI: 10.1016/j.krcp.2015.08.005.