期刊
INTERNATIONAL REVIEWS OF IMMUNOLOGY
卷 38, 期 3, 页码 118-128出版社
TAYLOR & FRANCIS INC
DOI: 10.1080/08830185.2019.1601720
关键词
ABO-incompatible; liver; transplantation; antibody; rejection
类别
ABO-incompatible liver transplantation (ABOi LT) using conventional immunosuppression has been considered a contraindication due to the high risk for antibody-mediated complications potentially resulting in graft loss. However, organ shortage has led to the development of anti-A/B antibody reducing immunosuppressive protocols which have made the outcome after living donor (LD) ABOi LT equivalent to that achieved with LD ABO-compatible (ABOc). The experience of deceased donor (DD) ABOi LT is however still limited. In this article, we discuss the historical background and the results after ABOi LT, in the setting of both LD and DD transplantation. We also discuss the remaining hurdles and future strategies in the breaching of the ABO barrier for LT.
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