New issues in heart transplantation for heart failure

被引:7
作者
Michelle M. Kittleson
机构
[1] Beverly Hills, CA 90211
关键词
AlloMap; Antimetabolites; Antithymocyte globulin; Basiliximab; Biopsy; Bortezomib; Calcineurin inhibitors; Corticosteroids; Cylex; Heart failure; Immunosuppression; Intravenous immunoglobulin; Photopheresis; Plasmapheresis; Proliferation signal inhibitors; Rituximab; Transplant;
D O I
10.1007/s11936-012-0184-7
中图分类号
学科分类号
摘要
Heart transplantation is the preferred therapy for patients with end-stage heart failure with refractory symptoms despite optimal medical and device therapy. The major impediment to survival is rejection and infection in the short term and cardiac allograft vasculopathy and malignancy in the long term. Current therapies are focused on the prevention and treatment of rejection and limiting the long-term problems of cardiac allograft vasculopathy and malignancy. Advances in monitoring assays now allow better assessment of rejection and the level of immune response. This will allow clinicians, in the future, to tailor current therapies to the needs of individual heart transplant recipients to maximize benefit and minimize toxicity. © Springer Science+Business Media, LLC 2012.
引用
收藏
页码:356 / 369
页数:13
相关论文
共 38 条
  • [1] McMurray J.J., Clinical practice. Systolic heart failure, N Engl J Med, 362, pp. 228-238, (2010)
  • [2] Costanzo M.R., Costanzo M.R., Dipchand A., Et al., The international society of heart and lung transplantation guidelines for the care of heart transplant recipients, J Heart Lung Transplant, 29, pp. 914-956, (2010)
  • [3] Stehlik J., Edwards L.B., Kucheryavaya A.Y., Et al., The Registry of the International Society for Heart and Lung Transplantation: Twenty-seventh official adult heart transplant report-2010, J Heart Lung Transplant, 29, pp. 1089-1103, (2010)
  • [4] Stewart S., Winters G.L., Fishbein M.C., Tazelaar H.D., Kobashigawa J., Abrams J., Andersen C.B., Angelini A., Berry G.J., Burke M.M., Demetris A.J., Hammond E., Itescu S., Marboe C.C., McManus B., Reed E.F., Reinsmoen N.L., Rodriguez E.R., Rose A.G., Rose M., Suciu-Focia N., Zeevi A., Billingham M.E., Revision of the 1990 working formulation for the standardization of nomenclature in the diagnosis of heart rejection, Journal of Heart and Lung Transplantation, 24, 11, pp. 1710-1720, (2005)
  • [5] Kobashigawa J., Crespo-Leiro M.G., Ensminger S.M., Et al., Report from a consensus conference on antibodymediated rejection in heart transplantation, J Heart Lung Transplant, 30, pp. 252-269, (2011)
  • [6] Wu G.W., Kobashigawa J.A., Fishbein M.C., Et al., Asymptomatic antibody-mediated rejection after heart transplantation predicts poor outcomes, J Heart Lung Transplant, 28, pp. 417-422, (2009)
  • [7] Kfoury A.G., Stehlik J., Renlund D.G., Snow G., Seaman J.T., Gilbert E.M., Stringham J.S., Long J.W., Hammond M.E.H., Impact of Repetitive Episodes of Antibody-mediated or Cellular Rejection on Cardiovascular Mortality in Cardiac Transplant Recipients: Defining Rejection Patterns, Journal of Heart and Lung Transplantation, 25, 11, pp. 1277-1282, (2006)
  • [8] Deng M.C., Eisen H.J., Mehra M.R., Billingham M., Marboe C.C., Berry G., Kobashigawa J., Johnson F.L., Starling R.C., Murali S., Pauly D.F., Baron H., Wohlgemuth J.G., Woodward R.N., Klingler T.M., Walther D., Lal P.G., Rosenberg S., Hunt S., Noninvasive discrimination of rejection in cardiac allograft recipients using gene expression profiling, American Journal of Transplantation, 6, 1, pp. 150-160, (2006)
  • [9] Pham M.X., Teuteberg J.J., Kfoury A.G., Et al., Gene-expression profiling for rejection surveillance after cardiac transplantation, N Engl J Med, 362, pp. 1890-1900, (2010)
  • [10] Kowalski R., Post D., Schneider M.C., Britz J., Thomas J., Deierhoi M., Lobashevsky A., Redfield R., Schweitzer E., Heredia A., Reardon E., Davis C., Bentlejewski C., Fung J., Shapiro R., Zeevi A., Immune cell function testing: An adjunct to therapeutic drug monitoring in transplant patient management, Clinical Transplantation, 17, 2, pp. 77-88, (2003)