Administration of equine anti-thymocyte globulin via peripheral vein in renal transplant recipients.

Abstract:

BACKGROUND:Anti-thymocyte globulin (ATG) is used frequently as induction therapy in renal transplant recipients. It has been standard practice that the various polyclonal anti-lymphocyte preparations be administered via central line, vascular shunt, or arteriovenous fistula to avoid thrombophlebitis. METHODS:We have safely administered equine ATG (Atgam) via peripheral veins since 1978. We now retrospectively review recent experience with 83 patients transplanted between 1993 and 1998 who received Atgam induction via peripheral vein. Heparin 1000 U and Solucortef 20 mg were added to the infusion. Acetaminophen and diphenhydramine were given before infusion. RESULTS:Only two of 83 patients developed mild edema/erythema at or around the i.v. site. These reactions responded promptly to local management with warm soaks. No phlebitis or symptomatic venous thrombosis occurred in any patients. CONCLUSIONS:Equine ATG can be safely administered via peripheral vein infusion. Its use does not require continued hospitalization or placement of a central line. Peripheral vein infusion is safe, convenient, and economical.

journal_name

Transplantation

journal_title

Transplantation

authors

Rahman GF,Hardy MA,Cohen DJ

doi

10.1097/00007890-200005150-00038

subject

Has Abstract

pub_date

2000-05-15 00:00:00

pages

1958-60

issue

9

eissn

0041-1337

issn

1534-6080

journal_volume

69

pub_type

杂志文章
  • Combined lung and liver transplantation: the United States experience.

    abstract:BACKGROUND:Combined transplantation of the lungs and liver is indicated for patients who would not be expected to survive transplantation of either organ alone. No single center has accumulated a significant experience, and as a result the expectations for this operation in the current era are unknown. METHODS:Patient...

    journal_title:Transplantation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/01.tp.0000165717.23652.09

    authors: Barshes NR,DiBardino DJ,McKenzie ED,Lee TC,Stayer SA,Mallory GB,Karpen SJ,Quiros-Tejeira RE,Carter BA,Fraser CD Jr,Goss JA

    更新日期:2005-11-15 00:00:00

  • C1q-fixing human leukocyte antigen antibodies are specific for predicting transplant glomerulopathy and late graft failure after kidney transplantation.

    abstract:BACKGROUND:Human leukocyte antigen (HLA) antibodies, especially those that fix complement, are associated with antibody-mediated rejection and graft failure. The C1q assay on single antigen beads detects a subset of HLA antibodies that can fix complement and precede C4d deposition. The aim of this study was to determin...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318203fd26

    authors: Yabu JM,Higgins JP,Chen G,Sequeira F,Busque S,Tyan DB

    更新日期:2011-02-15 00:00:00

  • Cells mediating graft rejection in the mouse. II. The Ly phenotypes of cells producing tumor allograft rejection.

    abstract::The particular T cell subsets involved in the rejection of tumor allografts were examined in mice using two different approaches. In the first, EL4 lymphoma cells or B16 melanoma cells were given to ATXBM-CBA/H mice which had been reconstituted with either naive or sensitized T cells selectively depleted with either L...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198202000-00013

    authors: Loveland BE,McKenzie IF

    更新日期:1982-02-01 00:00:00

  • Lethal post-transplantation calcinosis.

    abstract::The case studies of four patients with post-transplantation calcinosis are presented. Three of the four patients died of inanition and sepsis secondary to infection of extensive soft tissue ulcers and diffuse cutaneous vascular calcification with gangrene. The fourth patient survived following removal of all four para...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197901000-00006

    authors: Perloff LJ,Spence RK,Grossman RA,Barker CF

    更新日期:1979-01-01 00:00:00

  • Precursor frequency and lytic specificity of interleukin 2 and interleukin 4-responsive murine lymphocytes.

    abstract::The response to IL-2 and IL-4 of several functionally defined lymphoid cell types was assessed at the individual responding cell level in limiting dilution experiments in which exogenous IL-2 or IL-4 was used to promote cellular activation and expansion. Splenic precursors that give rise to alloreactive CTL in LDA sup...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199004000-00018

    authors: Widmer MB,Voice RF,Conlon PJ,Grabstein KH

    更新日期:1990-04-01 00:00:00

  • Interstitial pneumonitis following autologous bone marrow transplantation.

    abstract::The incidence of interstitial pneumonitis (IP) was reviewed in 70 consecutive patients who received autologous marrow transplants for hematologic malignancies. All patients were treated with total-body irradiation (TBI), with or without other chemotherapeutic agents. Seven patients (10%) developed IP, 3 were due to cy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198611000-00015

    authors: Pecego R,Hill R,Appelbaum FR,Amos D,Buckner CD,Fefer A,Thomas ED

    更新日期:1986-11-01 00:00:00

  • Continuous venovenous hemofiltration with dialysis in combination with total hepatectomy and portocaval shunting. Bridge to liver transplantation.

    abstract::Children who experience acute liver failure following liver transplantation will have multiple organ failure and a high rate of mortality unless emergency retransplantation can be performed. Transplant hepatectomy with portocaval shunting has been described as a bridge to transplantation in the most severe cases, as w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199607150-00026

    authors: Hammer GB,So SK,Al-Uzri A,Conley SB,Concepcion W,Cox KL,Berquist WE,Esquivel CO

    更新日期:1996-07-15 00:00:00

  • The relationship between flow cytometer crossmatch results and subsequent rejection episodes in cadaver renal allograft recipients.

    abstract::Flow cytometry (FC) T and B cell crossmatches were done retrospectively for 38 cadaver renal transplant recipients (29 first and 9 retransplants--minimum follow-up 12 months) using both current pretransplant serum and peak-reactive sera. An increase in median fluorescence intensity (channel shift) and/or an increase i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198803000-00012

    authors: Lazda VA,Pollak R,Mozes MF,Jonasson O

    更新日期:1988-03-01 00:00:00

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

    abstract:BACKGROUND:Previous studies have indicated that patients on maintenance hemodialysis have worse survival compared with kidney transplant (KTx) recipients. However, none of these studies have compared mortality of the US patients using alternative dialysis modalities such as home hemodialysis (HHD) with KTx recipients. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001005

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

    更新日期:2016-10-01 00:00:00

  • Role of the thymus in transplantation tolerance in miniature swine: V. Deficiency of the graft-to-thymus pathway of tolerance induction in recipients of cardiac transplants.

    abstract:BACKGROUND:We have previously shown that both thymic immigrants (graft to thymus pathway) and thymic emigrants (thymus to graft pathway) are involved in tolerance to renal allografts in miniature swine treated with a short course of calcineurin inhibitors. This study investigates the role of these pathways in cardiac t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000198735.17555.f1

    authors: Yamamoto S,Teranishi K,Kamano C,Samelson-Jones E,Arakawa H,Nobori S,Okumi M,Houser S,Shimizu A,Sachs DH,Yamada K

    更新日期:2006-02-27 00:00:00

  • mTOR inhibition and its effect on cancer in transplantation.

    abstract::A considerable amount of data indicates that transplanted patients are at increased risk for de novo and recurrent cancer. Treatment of this population is difficult. It remains unclear if the immunosuppressive therapy should be continued, tapered or even stopped or if immunosuppressive drugs with antiproliferative pro...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000186912.23630.85

    authors: Andrassy J,Graeb C,Rentsch M,Jauch KW,Guba M

    更新日期:2005-09-27 00:00:00

  • Transesophageal echocardiography during orthotopic liver transplantation in patients with esophagoastric varices.

    abstract:BACKGROUND:Hemodynamic monitoring using transesophageal echocardiography (TEE) in patients with signs of portal hypertension undergoing orthotopic liver transplantation (OLT) carries potential risk of esophageal and gastric variceal hemorrhage. The aim of our retrospective analysis was to evaluate the safety of intraop...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31825475c2

    authors: Burger-Klepp U,Karatosic R,Thum M,Schwarzer R,Fuhrmann V,Hetz H,Bacher A,Berlakovich G,Krenn CG,Faybik P

    更新日期:2012-07-27 00:00:00

  • The Ethics of Penile Transplantation: Preliminary Recommendations.

    abstract:BACKGROUND:For men with significant genitourinary injury, penile transplantation is being considered as an option when reconstruction is not feasible or proves unacceptable to the injured patient. METHODS:A review of the literature was conducted to assess the current state of penile reconstruction and transplantation ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001352

    authors: Caplan AL,Kimberly LL,Parent B,Sosin M,Rodriguez ED

    更新日期:2017-06-01 00:00:00

  • How We Approach Combination Antifungal Therapy for Invasive Aspergillosis and Mucormycosis in Transplant Recipients.

    abstract::Invasive aspergillosis and mucormycosis are life-threatening infections in solid organ and hematopoietic cell transplant recipients. Despite medical advancements in the care of these patients and the availability of new mold-active drugs, the outcomes remain suboptimal. Therefore, there has been increased interest in ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002353

    authors: Haidar G,Singh N

    更新日期:2018-11-01 00:00:00

  • Pancreas retransplantation: a second chance for diabetic patients?

    abstract:BACKGROUND:If pancreas transplantation is a validated alternative for type 1 diabetic patients with end-stage renal disease, the management of patients who have lost their primary graft is poorly defined. This study aims at evaluating pancreas retransplantation outcome. METHODS:Between 1976 and 2008, 569 pancreas tran...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e318271d795

    authors: Buron F,Thaunat O,Demuylder-Mischler S,Badet L,Brunet M,Ber CE,Thivolet C,Martin X,Berney T,Morelon E

    更新日期:2013-01-27 00:00:00

  • Effects of AGI-1096, a novel antioxidant compound with anti-inflammatory and antiproliferative properties, on rodent allograft arteriosclerosis.

    abstract:BACKGROUND:AGI-1096 is a novel phenolic intracellular antioxidant with anti-inflammatory and antiproliferative properties. In vitro, AGI-1096 inhibited the inducible expression of vascular cell adhesion molecule (VCAM)-1, E-selectin, and monocyte chemoattractant protein (MCP)-1 in endothelial cells and tumor necrosis f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000123076.05313.9f

    authors: Murata S,Sundell CL,Lijkwan MA,Balsam LB,Hammainen P,Coleman C,York C,Luchoomun J,Suen KL,Howard R,Somers PK,Morris RE,Robbins RC

    更新日期:2004-05-27 00:00:00

  • Long-term islet graft survival in streptozotocin- and autoimmune-induced diabetes models by immunosuppressive and potential insulinotropic agent FTY720.

    abstract:BACKGROUND:Toxicity of current immunosuppressive agents to islet grafts is one of the major obstacles to clinical islet transplantation (Tx). This study was designed to assess the efficacy of FTY720, a novel immunomodulator with a unique mechanism of action, on islet graft survival and function in streptozotocin (STZ)-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200205150-00011

    authors: Fu F,Hu S,Deleo J,Li S,Hopf C,Hoover J,Wang S,Brinkmann V,Lake P,Shi VC

    更新日期:2002-05-15 00:00:00

  • Glucocorticoids regulate calcineurin-dependent trans-activating pathways for interleukin-2 gene transcription in human T lymphocytes.

    abstract::Glucocorticoids (GC) inhibit IL-2 gene transcription by interfering with the binding of the nuclear factor activator protein-1 on the IL-2 promoter. Calcineurin, a Ca2+/calmodulin-dependent protein phosphatase, is an essential component of the T cell antigen receptor signal transduction pathway leading to IL-2 gene tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Paliogianni F,Boumpas DT

    更新日期:1995-05-15 00:00:00

  • HLA-G is a crucial immunosuppressive molecule secreted by adult human mesenchymal stem cells.

    abstract::Adult bone marrow-derived mesenchymal stem cells (MSCs) are multipotential cells capable of regenerating injured tissues. In addition to their multipotency, MSCs inhibit natural killer cell cytotoxicity and T-lymphocyte alloproliferation. Several immunosuppressive mechanisms have been described, including indoleamine ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a2a4b3

    authors: Selmani Z,Naji A,Gaiffe E,Obert L,Tiberghien P,Rouas-Freiss N,Carosella ED,Deschaseaux F

    更新日期:2009-05-15 00:00:00

  • HLA matching and the United Network for Organ Sharing Allocation System: impact of HLA matching on African-American recipients of cadaveric kidney transplants.

    abstract:BACKGROUND:A recent proposal supports the elimination of allocation points for human leukocyte antigen (HLA) mismatches (MM) in cadaveric kidney transplantation. The intent is to increase access for some racial groups that might be disadvantaged by the representation of race-specific HLA in a largely white donor pool. ...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200212150-00024

    authors: Rebellato LM,Arnold AN,Bozik KM,Haisch CE

    更新日期:2002-12-15 00:00:00

  • ABO compatibility and acute graft-versus-host disease following allogeneic bone marrow transplantation.

    abstract::If ABO antigens/antibodies play any role in the pathogenesis of acute graft-versus-host disease (GVHD), one would expect the highest incidence of GVHD in recipients of minor ABO-mismatched grafts, followed by ABO-matched grafts, and the lowest incidence in major ABO-mismatched transplants. To test this hypothesis 174 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198806000-00018

    authors: Bacigalupo A,Van Lint MT,Occhini D,Margiocco M,Ferrari G,Pittaluga PA,Frassoni F,Peralvo J,Lercari G,Carubia F

    更新日期:1988-06-01 00:00:00

  • Programmed cell death.

    abstract::Programmed cell death (PCD) is currently one of the most intensively studied areas in cell biology. Substantial evidence now exists demonstrating the integral role of PCD in many fundamental immunologic processes; therefore, understanding the mechanisms of PCD may provide advances with broad implications in immunobiol...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/00007890-199809270-00001

    authors: Woodle ES,Kulkarni S

    更新日期:1998-09-27 00:00:00

  • Posttransplant major histocompatibility complex class I chain-related gene A antibodies and long-term graft outcomes in a multicenter cohort of 779 kidney transplant recipients.

    abstract:BACKGROUND:The impact of major histocompatibility class I chain-related A (MICA) antibodies on renal graft outcomes is unclear. The goal of this work was to assess the impact of posttransplant MICA antibodies, assayed at 1 year, with two commercially available kits, on long-term renal graft outcomes. METHODS:We retros...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e31824fd8f1

    authors: Lemy A,Andrien M,Lionet A,Labalette M,Noel C,Hiesse C,Delahousse M,Suberbielle-Boissel C,De Meyer M,Latinne D,Mourad M,Delsaut S,Racapé J,Wissing KM,Toungouz M,Abramowicz D

    更新日期:2012-06-27 00:00:00

  • Tolerance induction in a fully allogeneic combination using anti-T cell receptor-alpha beta monoclonal antibody, low dose irradiation, and donor bone marrow transfusion.

    abstract::In a murine strain combination disparate in both H-2 antigens and minor histocompatibility antigens consisting of C57BL/6 (B6; H-2b, Mls-1b) mice as recipients and AKR/J (AKR; H-2k, Mls-1a) mice as donors, we reported that the administration of anti-TCR-alpha beta mAb nonspecifically suppresses the ability to reject a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Nomoto K,Yung-Yun K,Omoto K,Umesue M,Murakami Y,Matsuzaki G,Nomoto K

    更新日期:1995-02-15 00:00:00

  • Current status of hepatocyte transplantation.

    abstract::Hepatocyte transplantation (HT) has been performed in patients with liver-based metabolic disease and acute liver failure as a potential alternative to liver transplantation. The results are encouraging in genetic liver conditions where HT can replace the missing enzyme or protein. However, there are limitations to th...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/TP.0b013e31823b72d6

    authors: Hughes RD,Mitry RR,Dhawan A

    更新日期:2012-02-27 00:00:00

  • Transient pure red cell aplasia caused by antilymphoblast globulin after cadaveric renal transplantation.

    abstract::Transient pure red cell aplasia (PRCA) in three consecutive patients receiving ATG for management of kidney graft rejection prompted a systematic study of the effects on erythropoiesis of the ATG preparation used at our institution. We found that 90% of patients treated with rabbit anti-T lymphoblast globulin develope...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00017

    authors: Schaffner A,Thomann B,Zala GF,Rüegg R,Keusch G,Fehr J,Gmür J

    更新日期:1991-05-01 00:00:00

  • Everolimus with reduced cyclosporine versus MMF with standard cyclosporine in de novo heart transplant recipients.

    abstract:BACKGROUND:Pharmacokinetic modeling supports trough monitoring of everolimus, but prospective data comparing this approach versus mycophenolate mofetil (MMF) in de novo cardiac transplant recipients are currently unavailable. METHODS:In a 12-month multicenter open-label study, cardiac transplant patients received ever...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/TP.0b013e3181aacd22

    authors: Lehmkuhl HB,Arizon J,Viganò M,Almenar L,Gerosa G,Maccherini M,Varnous S,Musumeci F,Hexham JM,Mange KC,Livi U,2411 Study Investigators.

    更新日期:2009-07-15 00:00:00

  • Pregnancy outcome after cyclosporine therapy during pregnancy: a meta-analysis.

    abstract:BACKGROUND:Cyclosporine (CsA) therapy must often be continued during pregnancy to maintain maternal health in such conditions as organ transplantation and autoimmune disease. This meta-analysis was performed to determine whether CsA exposure during pregnancy is associated with an increased risk of congenital malformati...

    journal_title:Transplantation

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007890-200104270-00006

    authors: Bar Oz B,Hackman R,Einarson T,Koren G

    更新日期:2001-04-27 00:00:00

  • 32 Doses of Bortezomib for Desensitization Is Not Well Tolerated and Is Associated With Only Modest Reductions in Anti-HLA Antibody.

    abstract:BACKGROUND:We previously showed that bortezomib (BTZ) partially depletes plasma cells, yet has limited efficacy for desensitization in kidney transplant candidates when up to 16 doses is given. METHODS:This study aimed to determine the safety and efficacy of 32 doses of BTZ (1.3 mg/m of body surface area) in 10 highly...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/TP.0000000000001330

    authors: Moreno Gonzales MA,Gandhi MJ,Schinstock CA,Moore NA,Smith BH,Braaten NY,Stegall MD

    更新日期:2017-06-01 00:00:00

  • Procurement of the human pancreas for pancreatic islet transplantation.

    abstract:BACKGROUND:The full potential of pancreatic islet transplantation (PIT) has not been realized because of the difficulties associated with islet isolation, particularly when associated with a remote islet isolation center. Herein, we describe the principles of pancreatic procurement for PIT, which have allowed us to ach...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000128910.41921.4b

    authors: Lee TC,Barshes NR,Brunicardi FC,Alejandro R,Ricordi C,Nguyen L,Goss JA

    更新日期:2004-08-15 00:00:00