Diltiazem in renal allograft recipients receiving cyclosporine.

Abstract:

:Of 113 cyclosporine-treated primary renal allograft recipients, 60 were randomized to receive standard therapy without diltiazem (ND) and 53 received standard therapy plus diltiazem (D). There was no difference in CsA blood levels between ND and D at all intervals between 3 and 24 months follow-up, yet the D group required 35% less CsA than the ND group (measured at 12 months). At all intervals to 24 months there was no difference in blood pressure, renal function (as measured by serum creatinine), or in the number of grafts lost between the 2 groups (ND, 4 lost; D, 3 lost). There was no significant difference in the total number of rejection episodes in the 2 groups (ND, 89 episodes; D, 71 episodes). However, the severity of rejection episodes was greater in the ND group as evidenced by a significant difference in the usage of OKT3 (ND, 17 courses; D, 8 courses of OKT3, P < 0.05). Of the biopsy-proven episodes of rejection, there were more episodes of vascular rejection in the ND group (ND, 14 episodes; D, 3 episodes, P = 0.005). The incidence of primary nonfunction was less in the D group (ND, 16 patients; D, 5 patients, P = 0.05). It was concluded that the use of diltiazem was associated with a markedly reduced requirement for CsA without any adverse effect on graft function or graft outcome. Diltiazem with CsA was associated with fewer episodes of primary nonfunction and less-severe rejection episodes and in particular fewer episodes of vascular rejection.

journal_name

Transplantation

journal_title

Transplantation

authors

Chrysostomou A,Walker RG,Russ GR,d'Apice AJ,Kincaid-Smith P,Mathew TH

doi

10.1097/00007890-199302000-00014

subject

Has Abstract

pub_date

1993-02-01 00:00:00

pages

300-4

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

55

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Thomas D,Yang H,Boffa DJ,Ding R,Sharma VK,Lagman M,Li B,Hering B,Mohanakumar T,Lakey J,Kapur S,Hancock WW,Suthanthiran M

    更新日期:2002-12-15 00:00:00

  • Prospective assessment of bone turnover and clinical bone diseases after allogeneic hematopoietic stem-cell transplantation.

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    authors: Petropoulou AD,Porcher R,Herr AL,Devergie A,Brentano TF,Ribaud P,Pinto FO,Rocha V,Peffault de Latour R,Orcel P,Socié G,Robin M

    更新日期:2010-06-15 00:00:00

  • Early enteral supply of lactobacillus and fiber versus selective bowel decontamination: a controlled trial in liver transplant recipients.

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Rayes N,Seehofer D,Hansen S,Boucsein K,Müller AR,Serke S,Bengmark S,Neuhaus P

    更新日期:2002-07-15 00:00:00

  • Increased transplant arteriosclerosis in the absence of CCR7 is associated with reduced expression of Foxp3.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181826a97

    authors: Ensminger SM,Helm SN,Ohl L,Spriewald BM,Abele S,Wollin M,Wood KJ,Weyand M,Förster R

    更新日期:2008-08-27 00:00:00

  • Percutaneous transluminal angioplasty treatment of renal transplant artery stenosis.

    abstract::Since June 1979, percutaneous transluminal angioplasty (PTA) has been the procedure of choice for renal transplant artery stenosis (RTAS) at the Hospital of the University of Pennsylvania. Of 241 renal allograft recipients, 17 (7%) when studied by arteriogram because of suspected RTAS proved to have significant stenos...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198212000-00005

    authors: Grossman RA,Dafoe DC,Shoenfeld RB,Ring EJ,McLean GK,Oleaga JA,Freiman DB,Naji A,Perloff LJ,Barker CF

    更新日期:1982-12-01 00:00:00

  • Fetal liver transplantation in the dog. I. Restoration of hemopoiesis with cryopreserved fetal liver cells from DLA-identical siblings.

    abstract::Fetal liver cells (FLC) were obtained from beagle fetuses 52 days postconception, and were cryopreserved prior to transplantation into ten sibling recipients that had previously been exposed to total-body irradiation delivered in 3 fractions of 6 Gy each at 4 days, 2 days, and 2 hr before grafting. Donors and hosts we...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Prümmer O,Raghavachar A,Werner C,Calvo W,Carbonell F,Steinbach I,Fliedner TM

    更新日期:1985-04-01 00:00:00

  • Magnetic resonance-defined perinephric edema after clinical islet transplantation: a benign finding associated with mild renal impairment.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000134971.15093.07

    authors: Senior PA,Shapiro AM,Ackerman TE,Ryan EA,Paty BW,Bhargava R

    更新日期:2004-09-27 00:00:00

  • Fluorescence videomicroscopic assessment of xenogeneic microcirculation and impact of antibody removal by immunoadsorption.

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    pub_type: 杂志文章

    doi:10.1097/00007890-199702150-00022

    authors: Seehofer D,Baatz H,Thiery J,Müller-Hocker J,Müller-Derlich J,Hammer C

    更新日期:1997-02-15 00:00:00

  • Pulmonary and blood stream infections in adult living donor and cadaveric liver transplant patients.

    abstract:BACKGROUND:Infectious complications occur in approximately 50% of cadaveric liver transplant (CDLT) recipients. Living-donor liver transplantation (LDLT) is an established alternative to shorten the waiting time. Currently, the incidence of pulmonary infections after LDLT and the microbiologic causes are unknown. In th...

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    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816f61a6

    authors: Saner FH,Olde Damink SW,Pavlakovic G,van den Broek MA,Rath PM,Sotiropoulos GC,Radtke A,Canbay A,Paul A,Nadalin S,Malagó M,Broelsch CE

    更新日期:2008-06-15 00:00:00

  • Optimal timing for a pancreas transplant after a successful kidney transplant.

    abstract:BACKGROUND:For certain uremic, diabetic patients, a sequential transplant of a kidney (usually from a living donor) followed by a cadaver pancreas has become an attractive option. But how long to wait after the kidney transplant before proceeding with a pancreas transplant is unclear. We studied outcomes in recipients ...

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    pub_type: 杂志文章

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    authors: Humar A,Sutherland DE,Ramcharan T,Gruessner RW,Gruessner AC,Kandaswamy R

    更新日期:2000-10-27 00:00:00

  • New mouse model to study islet transplantation in insulin-dependent diabetes mellitus.

    abstract:BACKGROUND:Islet transplantation studies with diabetic rodents frequently use treatment with diabetogens such as alloxan or streptozotocin to render hosts hyperglycemic. These chemicals produce unwanted toxic side effects, which complicate interpretations of damage produced by hyperglycemia versus direct toxin-induced ...

    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Mathews CE,Langley SH,Leiter EH

    更新日期:2002-04-27 00:00:00

  • Double genetic modification of adenovirus fiber with RGD polylysine motifs significantly enhances gene transfer to isolated human pancreatic islets.

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    pub_type: 杂志文章

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    更新日期:2003-07-15 00:00:00

  • Characterization of naturally occurring CD4+CD25+ regulatory T cells in rhesus monkeys.

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    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816b15b9

    authors: Haanstra KG,van der Maas MJ,'t Hart BA,Jonker M

    更新日期:2008-04-27 00:00:00

  • Influence of positive lymphocyte crossmatch and HLA mismatching on vanishing bile duct syndrome in human liver allografts.

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    pub_type: 杂志文章

    doi:10.1097/00007890-198802000-00026

    authors: Batts KP,Moore SB,Perkins JD,Wiesner RH,Grambsch PM,Krom RA

    更新日期:1988-02-01 00:00:00

  • The effect of cyclosporine on agonist-stimulated glomerular and mesangial cell vasodilatory prostaglandin production.

    abstract::Cyclosporine A administration produces an increase in renal vascular resistance and a decrease in glomerular filtration rate in both human and animal models. CsA usage in humans has also been shown to alter the ability of the kidney to adapt to alterations in renal hemodynamics. CsA alters the production of prostaglan...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199110000-00025

    authors: Bunke M,Wilder L,Martin A

    更新日期:1991-10-01 00:00:00

  • Phenotypic variations in resting and activated levels of ICAM-1 expression by cultured human aortic endothelial cells.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199410270-00015

    authors: Everett JP,Shipley GD,Mauck KA,Wagner CR,Morris TE,Hosenpud JD

    更新日期:1994-10-27 00:00:00

  • A prospective study of human herpesvirus type 6 detected by polymerase chain reaction after liver transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602270-00027

    authors: Schmidt CA,Wilbron F,Weiss K,Brinkmann V,Oettle H,Lohmann R,Langrehr JM,Neuhaus P,Siegert W

    更新日期:1996-02-27 00:00:00

  • Racial Differences in Survival of Incident Home Hemodialysis and Kidney Transplant Patients.

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Molnar MZ,Ravel V,Streja E,Kovesdy CP,Mehrotra R,Kalantar-Zadeh K

    更新日期:2016-10-01 00:00:00

  • Inhibition of human monocyte spreading. An in vitro test for immunosuppressive potency of antihum lymphocyte globulin.

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    pub_type: 杂志文章

    doi:

    authors: Silobrcić V,Mazuran R,Dekaris D,Balner H

    更新日期:1976-01-01 00:00:00

  • Cardioprotective effects of the lazaroid U74389G following cold preservation and transplantation of rat hearts.

    abstract::Limited recovery of contractile function and loss of coronary reactivity have been observed following prolonged hypothermic storage and transplantation of the heart. Since lipid peroxidation has a significant role in these deficits, we investigated the cardioprotective effects of a 21-aminosteroid. U74389G, 3 mg/kg i....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199604150-00007

    authors: Duguay P,Chen H,Daloze P,Dumont L

    更新日期:1996-04-15 00:00:00

  • The effects of perioperative portal venous inoculation with donor lymphocytes on renal allograft survival in the rat. II. Phenotypic and functional analyses of graft-infiltrating cells.

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    pub_type: 杂志文章

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    authors: Hamashima T,Yoshimura N,Matsui S,Lee CJ,Ohsaka Y,Oka T

    更新日期:1990-01-01 00:00:00

  • Fate of antipaternal H-2 antibodies bound to the placenta in vivo.

    abstract::We have previously demonstrated that the placental spongiotrophoblast and yolk sac venous plexus express paternally derived H-2K and D (class I) antigens in a manner accessible to maternal circulation, and that the placenta serves to prevent antipaternal antibodies from reaching the fetus. Kinetic studies indicated th...

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    pub_type: 杂志文章

    doi:10.1097/00007890-198403000-00016

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    更新日期:1984-03-01 00:00:00

  • Biliary Bicarbonate, pH, and Glucose Are Suitable Biomarkers of Biliary Viability During Ex Situ Normothermic Machine Perfusion of Human Donor Livers.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002500

    authors: Matton APM,de Vries Y,Burlage LC,van Rijn R,Fujiyoshi M,de Meijer VE,de Boer MT,de Kleine RHJ,Verkade HJ,Gouw ASH,Lisman T,Porte RJ

    更新日期:2019-07-01 00:00:00

  • Increased incidence of acute myeloid leukemia after liver transplantation? Description of three new cases and review of the literature.

    abstract:BACKGROUND:Acute myeloid leukemia (AML) after solid organ transplantation is rare, with only six AML cases after liver transplantation (LT) being reported. METHODS:Characteristics of three AML cases observed among 799 recipients of LT in the authors' institution and estimation of the standardized incidence ratio (SIR)...

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    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000102549.40531.13

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    更新日期:2004-01-27 00:00:00

  • CD4+ and B lymphocytes in transplantation immunity. II. Augmented rejection of tumor allografts by mice lacking B cells.

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    pub_type: 杂志文章

    doi:

    authors: Monach PA,Schreiber H,Rowley DA

    更新日期:1993-06-01 00:00:00

  • HLAmatchmaker: a molecularly based algorithm for histocompatibility determination. IV. An alternative strategy to increase the number of compatible donors for highly sensitized patients.

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    更新日期:2003-03-27 00:00:00

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    更新日期:1998-05-27 00:00:00

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    pub_type: 杂志文章

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    authors: Patel JV,Weston MJ,Kessel DO,Prasad R,Toogood GJ,Robertson I

    更新日期:2003-05-27 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Sawchuk SS,Gates R,Hirsch R

    更新日期:1995-12-15 00:00:00

  • In vitro generation of human mixed lymphocyte culture suppressor cells. I. Cellular characterization and specificity.

    abstract::The mixed leukocyte culture (MLC) of peripheral blood lymphocytes (PBLs) from two prospective kidney transplant recipients and their respective donors, produced a primed cell population that functioned as suppressors. The primed cells suppressed the primary and secondary MLC when added as third components, without dem...

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    pub_type: 杂志文章

    doi:10.1097/00007890-198001000-00012

    authors: Fuller L,Kyriakides G,Flaa C,Esquenazi V,Miller J

    更新日期:1980-01-01 00:00:00