期刊
TRANSFUSION MEDICINE AND HEMOTHERAPY
卷 46, 期 5, 页码 337-346出版社
KARGER
DOI: 10.1159/000502124
关键词
HLA antibodies; Lung transplantation; Alloimmunization; Antibody-mediated rejection
Since almost 30 years, lung transplantation is a considerable therapeutic option in patients suffering from end-stage lung disease. Up to now, the impact of donor-specific antibodies directed against donor HLA (human leukocyte antigen) before and after transplantation is still a matter of debate. As histocompatibility testing is not required for each patient according to the current national guidelines and Eurotransplant recommendations for lung transplantation, each transplantation unit has to establish a local protocol together with the tissue typing laboratory how to implement an immunological risk assessment strategy for their patients while enabling access to transplantation. Desensitization regimens might help in case of highly alloimmunized patients waiting for urgent transplantation.
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