The impact of alloantibodies directed against the second donor on long-term outcomes of repeat liver transplantation
Author(s) -
Qingyong Xu,
Brad Shrum,
Steve Leckie,
Anton Skaro,
Vivian C. McAlister
Publication year - 2019
Publication title -
hepatobiliary surgery and nutrition
Language(s) - English
Resource type - Journals
eISSN - 2304-389X
pISSN - 2304-3881
DOI - 10.21037/hbsn.2019.01.14
Subject(s) - medicine , transplantation , liver transplantation , term (time) , physics , quantum mechanics
Despite reports that associate donor specific antibody (DSA) with rejection after liver transplantation, grafts are still allocated according to blood group (ABO) but not human leukocyte antigen (HLA) compatibility, possibly due to the absence of an easily discernible clinical association between adverse recipient outcome and DSA. Re-transplantation provides a test environment where the presence of preformed DSA is prevalent and its effect on outcome should be apparent.
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