Perioperative C1-esterase inhibitor therapy to allow transplantation in a highly sensitized lung transplant candidate: three case reports.

IF 8.9 2区 医学 Q1 SURGERY American Journal of Transplantation Pub Date : 2025-02-18 DOI:10.1016/j.ajt.2025.02.009
Jérôme Devaquet, Benjamin Coiffard, Xavier Demant, François Parquin, Magali Devriese, Edouard Sage, Pascal Pedini, Clément Picard, Florence Daviet, Xavier Benoit D'Journo, Gwendaline Guidicelli, Natalia Belousova, Antoine Roux
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引用次数: 0

Abstract

Lung transplant candidates who are highly sensitized against human leucocyte antigen have a lower likelihood of graft allocation and a higher risk of dying while on the waiting list. C1-esterase inhibitor, an inhibitor of the classical and lectin pathways of complement activation, has been used successfully to prevent and treat acute antibody-mediated rejection in kidney and heart transplantation. Here, we report three cases of C1-esterase inhibitors used perioperatively in highly sensitized lung transplant candidates, with successful bilateral lung transplants despite severe primary graft dysfunction and/or hyperacute antibody-mediated rejection.

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来源期刊
CiteScore
18.70
自引率
4.50%
发文量
346
审稿时长
26 days
期刊介绍: The American Journal of Transplantation is a leading journal in the field of transplantation. It serves as a forum for debate and reassessment, an agent of change, and a major platform for promoting understanding, improving results, and advancing science. Published monthly, it provides an essential resource for researchers and clinicians worldwide. The journal publishes original articles, case reports, invited reviews, letters to the editor, critical reviews, news features, consensus documents, and guidelines over 12 issues a year. It covers all major subject areas in transplantation, including thoracic (heart, lung), abdominal (kidney, liver, pancreas, islets), tissue and stem cell transplantation, organ and tissue donation and preservation, tissue injury, repair, inflammation, and aging, histocompatibility, drugs and pharmacology, graft survival, and prevention of graft dysfunction and failure. It also explores ethical and social issues in the field.
期刊最新文献
Outside Front Cover Gut microbiome alterations precede graft rejection in kidney transplantation patients. Perioperative C1-esterase inhibitor therapy to allow transplantation in a highly sensitized lung transplant candidate: three case reports. Association between out of sequence allocation and deceased donor kidney non-utilization across Organ Procurement Organizations. Longer Travel and Traffic are Associated with Adult Liver Transplant Waitlist Mortality in the United States.
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