NEW CHOICES FOR PATIENTS NEEDING KIDNEY TRANSPLANTATION ACROSS ANTIBODY BARRIERS

被引:6
作者
Higgins, Rob [1 ,2 ]
Hathaway, Mark [3 ]
Lowe, David [3 ]
Zehnder, Daniel [1 ,2 ,4 ]
Krishnan, Nithya [1 ,2 ]
Hamer, Rizwan [1 ,2 ,4 ]
Briggs, David [3 ]
机构
[1] Univ Hosp Coventry, Transplant Unit, Coventry, W Midlands, England
[2] Univ Hosp Warwickshire, Transplant Unit, Coventry, W Midlands, England
[3] Natl Blood Serv, Histocompatibil Lab, Birmingham, W Midlands, England
[4] Univ Warwick, Warwick Med Sch, Clin Sci Res Inst, Coventry, W Midlands, England
关键词
ABO antibody; Antibody-incompatible transplantation; HLA antibody; Kidney transplant; Plasma exchange; Plasmapheresis;
D O I
10.1111/j.1755-6686.2008.00025.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Antibodies in the blood of a kidney transplant recipient can provide a barrier to transplantation, which is additional to the usual possibility of cellular rejection. The antibodies most frequently encountered are ABO (blood group) and human leucocyte antigen (HLA) (tissue-type) antibodies. About 250 living donor transplants each year in the United Kingdom have been stopped because of an antibody barrier. It is now possible to offer a choice of treatment modalities to these people, including exchange transplantation and antibody-incompatible transplantation. It is likely that both schemes will complement each other and both are available in the United Kingdom.
引用
收藏
页码:85 / 93
页数:9
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