Should organs from hepatitis C-positive donors be used in hepatitis C-negative recipients for liver transplantation?

被引:30
作者
Selzner, Nazia [1 ]
Berenguer, Marina [2 ]
机构
[1] Univ Toronto, Multiorgan Transplant Program, Toronto, ON, Canada
[2] Univ Valencia, La Fe Univ Hosp, Liver Transplantat & Hepatol Unit, Valencia, Spain
关键词
ACTING ANTIVIRAL AGENTS; TERM-FOLLOW-UP; VIRUS-INFECTION; UNITED-STATES; GENOTYPE; HCV; CLEARANCE; ANTIBODY; OUTCOMES; RISK;
D O I
10.1002/lt.25072
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Given the scarcity of donated organs and the frequency of death on the waiting list, strategies that could improve the available supply of high-quality liver grafts are much needed. Direct-acting antiviral agent (DAA) regimens have proved to be highly effective to treat hepatitis C virus (HCV), even in the setting of posttransplantation. The question arises as to whether transplant communities should consider the utilization of HCV-positive donors into HCV-negative recipients. This review summarizes risk of transmission, treatment options with success rate, and ethical considerations for usage of HCV-positive donors. Liver Transplantation 24 831-840 2018 AASLD.
引用
收藏
页码:831 / 840
页数:10
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