CONVERSION TO EVEROLIMUS TO PRESERVE KIDNEY FUNCTION IN A HEART TRANSPLANT RECIPIENT, A PERSONALIZED APPROACH OF IMMUNOSUPPRESSIVE THERAPY

被引:0
作者
Koloskova, N. N. [1 ]
Nikitina, E. A. [1 ]
Zakharevich, V. M. [1 ,2 ]
Muminov, I. I. [1 ]
Cvan, V. S. [1 ]
Poptsov, V. N. [1 ]
Ahmadzai, R. L. [1 ]
Izotov, D. A. [1 ]
Shevchenko, A. O. [1 ,2 ]
机构
[1] Minist Healthcare Russian Federat, VI Shumakov Natl Med Res Ctr Transplantol & Artif, Moscow, Russia
[2] Sechenovsky Univ, IM Sechenov Moscow State Med Univ 1, Minist Healthcare Russian Federat, Moscow, Russia
来源
VESTNIK TRANSPLANTOLOGII I ISKUSSTVENNYH ORGANOV | 2018年 / 20卷 / 03期
关键词
heart transplanation; immunosuppressive therapy; nephrotoxicity of calcineurin inhibitor; renal dysfunction; everolimus; mTOR inhibitor;
D O I
10.15825/1995-1191-2018-3-70-74
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Heart transplantation is the gold standard of treatment severe heart failure. Patient survival after heart transplantation has improved dramatically since the availability of calcineurin inhibitor (CNIs). However, nephrotoxicity of CNIs has been largely responsible for the progressive development of renal dysfunction and reduces long-term patient survival. Use mTOR inhibitor in immunosuppressive therapy may improve renal function when everolirnus is administered associated with a progressive reduction of CNIs. The purpose of our report is to demonstrate the successful case of conversion of the recipient after heart transplatation to evaluate the effectiveness of this drug during the observation year after heart transplantation to ever
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收藏
页码:70 / 74
页数:5
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