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医学伦理学

你正在浏览Current Opinion in Organ Transplantation期刊下所有文献
  • Evaluation and selection of the liver transplant candidate: updates on a dynamic and evolving process.

    abstract:PURPOSE OF REVIEW:Although conceptually unchanged, the evaluation and selection of the liver transplant candidate has seen significant recent advances. Expanding criteria for transplant candidacy, improved diagnostics for risk stratification and advances in prognostic models have paralleled recent changes in allocation...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000829

    authors: Kriss M,Biggins SW

    更新日期:2021-02-01 00:00:00

  • Measuring human leukocyte antigen alloantibodies: beyond a binary decision.

    abstract:PURPOSE OF REVIEW:Accurate measurement of human leukocyte antigen antibodies is critical for making clinical decisions treating patients awaiting transplantation or monitoring them post transplantation. Single antigen bead assay results are given as Mean Fluorescence Intensity, falling short of providing the required q...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000822

    authors: Maguire CH,Schinstock CA,Tambur AR

    更新日期:2020-12-01 00:00:00

  • Ethical and societal challenges in penis transplantation.

    abstract:PURPOSE OF REVIEW:To review the current understanding of the ethical and societal difficulties of penile transplantation. RECENT FINDINGS:Penile transplantation, as with other forms of vascularized composite allotransplantation, has increasing acceptance in society but is still not entirely accepted. Guidelines aiming...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000820

    authors: van der Merwe A,Moosa MR,Barsdorf N

    更新日期:2020-12-01 00:00:00

  • Donor-specific antibodies in kidney transplantation: the University of Wisconsin experience.

    abstract:PURPOSE OF REVIEW:Antibody-mediated rejection (ABMR) is the leading cause of allograft failure in kidney transplant recipients. This article provides a summary of the clinical research relating to donor-specific antibodies (DSA) and ABMR in kidney transplant recipients at the University of Wisconsin-Madison Transplant ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000814

    authors: Garg N,Parajuli S,Mandelbrot DA,Djamali A

    更新日期:2020-12-01 00:00:00

  • Considerations and experience driving expansion of combined heart-liver transplantation.

    abstract:PURPOSE OF REVIEW:Heart transplantation concomitant with a liver transplant may be warranted when end-stage heart failure results in irreversible liver failure. Previously reported outcomes have been excellent yet the specific immunoprotective role of the liver allograft is not known. We review the current literature a...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000804

    authors: Gong T,Hall S

    更新日期:2020-10-01 00:00:00

  • Risk stratification and management of QuantiFERON-positive solid-organ living donors.

    abstract:PURPOSE OF REVIEW:Donor-derived disease with Mycobacterium tuberculosis (MTB) is likely to become more common as donor pools expand due to increasing transplant volume coupled with patterns of migration and global mobility. Our article reviews the current literature and provides a rational approach for clinicians manag...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000787

    authors: Gibb J,Wong D

    更新日期:2020-08-01 00:00:00

  • The need for a living donor wellness program.

    abstract:PURPOSE OF REVIEW:Living donation has a tremendous impact in bridging the gap between the shortage of organs and the growing list of transplant candidates but remains underutilized as a percentage of total transplants performed. This review focuses on obesity and social determinants of health as potential barriers to t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000779

    authors: Kim J,Kim S,Genyk Y,Maw TT

    更新日期:2020-08-01 00:00:00

  • Pediatric kidney transplantation in the United States.

    abstract:PURPOSE OF REVIEW:Pediatric kidney transplantation has made great strides over the preceding years. It has become an accepted and successful remedy for thousands of patients worldwide. For best outcomes, it must be viewed and treated as a distinct entity from adult transplantation with focus on the unique challenges pa...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000783

    authors: Etesami K,Lestz R,Hogen R

    更新日期:2020-08-01 00:00:00

  • Heart transplantation in cardiac storage diseases: data on Fabry disease and cardiac amyloidosis.

    abstract:PURPOSE OF REVIEW:To deeply investigate one type of intracellular cardiac storage disease, the Fabry disease and one example of extracellular cardiac storage disease, the cardiac amyloidosis, with the aim to collect data about cardiac treatment at the end-stage level and the feasibility of heart transplantation (HTx) i...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000756

    authors: Di Nora C,Livi U

    更新日期:2020-06-01 00:00:00

  • Current status of pediatric intestinal transplant in Europe.

    abstract:PURPOSE OF REVIEW:This review features articles published during 2018 and 2019 regarding pediatric visceral transplantation in Europe. In this biannual review, the authors identify and summarize key articles pertinent to clinical and research areas. RECENT FINDINGS:There is a trend to a lower use of intestinal transpl...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000736

    authors: Andres AM,Ramos E,Hernandez F

    更新日期:2020-04-01 00:00:00

  • Rethinking clinical endpoints in kidney transplant trials.

    abstract:PURPOSE OF REVIEW:Clinical trials testing novel kidney transplant therapies are challenged by low rates of long-term clinical outcomes such as death and graft loss. Herein, we critically review traditional and more recent strategies to expedite new therapies by minimizing sample size and follow-up duration using surrog...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000719

    authors: Maggiore U,Leventhal J,Cravedi P

    更新日期:2020-02-01 00:00:00

  • The high-end range of biliary reconstruction in living donor liver transplant.

    abstract:PURPOSE OF REVIEW:To summarize recent evidence in literature regarding incidence and risk factors for biliary complications in living donor liver transplantation (LDLT), and current concepts in evaluation of donor biliary anatomy and surgical techniques of biliary reconstruction, to reduce the incidence of biliary comp...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000693

    authors: Bhangui P,Saha S

    更新日期:2019-10-01 00:00:00

  • Current state of organ transplant tolerance.

    abstract:PURPOSE OF REVIEW:Immunological tolerance has long been considered the 'holy grail' of organ transplantation. Although tolerance has been an active area of research for 70 years, its clinical application has only been possible in the last two decades and widespread use remains an, as yet, unattained goal. Recent advanc...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000670

    authors: Rickert CG,Markmann JF

    更新日期:2019-08-01 00:00:00

  • An interdisciplinary approach to the older transplant patient: strategies for improving clinical outcomes.

    abstract:PURPOSE OF REVIEW:To describe the latest investigations into the role of frailty and assessment of other aging-related issues in the solid organ transplant candidate and recipient. This information is relevant for all involved in the care of transplant patients, but is especially relevant in infectious diseases, given ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000662

    authors: Schaenman J,Goldwater D,Malinis M

    更新日期:2019-08-01 00:00:00

  • The past, present, and future of costimulation blockade in organ transplantation.

    abstract:PURPOSE OF REVIEW:Manipulating costimulatory signals has been shown to alter T cell responses and prolong graft survival in solid organ transplantation. Our understanding of and ability to target various costimulation pathways continues to evolve. RECENT FINDINGS:Since the approval of belatacept in kidney transplantat...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000656

    authors: Schroder PM,Fitch ZW,Schmitz R,Choi AY,Kwun J,Knechtle SJ

    更新日期:2019-08-01 00:00:00

  • Does the Canadian allocation system for highly sensitized patients work?

    abstract:PURPOSE OF REVIEW:The number of sensitized heart transplant candidates is rising. Highly sensitized patients are disadvantaged because they encounter longer waiting times to heart transplant. Strategies to reduce their waiting times include waitlist prioritization and desensitization therapies. The purpose of this revi...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000635

    authors: Aleksova N,Ross HJ

    更新日期:2019-06-01 00:00:00

  • The lung microbiome and transplantation.

    abstract:PURPOSE OF REVIEW:Lung transplantation survival is still limited compared with other solid organ transplant modalities, due to a range of factors that are continuing to be elucidated. However, new research is emerging which indicates that the microbiome of the lungs, and of other organs, may have important implications...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000631

    authors: Mitchell AB

    更新日期:2019-06-01 00:00:00

  • The parallel paradigm between intestinal transplant inflammation and inflammatory bowel disease.

    abstract:PURPOSE OF REVIEW:A significant shift in our understanding of the molecular and cellular basis for inflammatory bowel disease (IBD) mirrors research that has been ongoing in intestinal transplantation. The blurring of lines between these two disease states creates an avenue into potential therapeutic interventions whic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000615

    authors: Belyayev L,Loh K,Fishbein TM,Kroemer A

    更新日期:2019-04-01 00:00:00

  • Current outcomes after pediatric and adult intestinal transplantation.

    abstract:PURPOSE OF REVIEW:In this article, we will review the outcomes of patients with intestinal transplant (ITx) with a focus on factors affecting long-term graft and patient survival. RECENT FINDINGS:The most recent International Intestinal Transplant Registry reports a 1-, 5-, and 10-year graft survival of 71%, 50%, and ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000608

    authors: Amin A,Farmer DG

    更新日期:2019-04-01 00:00:00

  • Lung bioengineering: advances and challenges in lung decellularization and recellularization.

    abstract:PURPOSE OF REVIEW:Bioengineering the lung based on its natural extracellular matrix (ECM) offers novel opportunities to overcome the shortage of donors, to reduce chronic allograft rejections, and to improve the median survival rate of transplanted patients. During the last decade, lung tissue engineering has advanced ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000584

    authors: Uriarte JJ,Uhl FE,Rolandsson Enes SE,Pouliot RA,Weiss DJ

    更新日期:2018-12-01 00:00:00

  • What will it take before a bioengineered heart will be implanted in patients?

    abstract:PURPOSE OF REVIEW:Heart transplantation is the only curative treatment option for end-stage heart failure. However, a shortage of donor organs is a major limitation of this approach. Regenerative medicine targets the goal of increasing the number of available hearts for transplantation. In this review, we highlight the...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000583

    authors: Taylor DA,Elgalad A,Sampaio LC

    更新日期:2018-12-01 00:00:00

  • Taking regulatory T-cell therapy one step further.

    abstract:PURPOSE OF REVIEW:Adoptive cell therapy using CD4FOXP3 regulatory T cells (Treg) has emerged as a promising therapeutic strategy to treat autoimmunity and alloimmunity. Preclinical studies suggest that the efficacy of Treg therapy can be improved by modifying the antigen specificity, stability and function of therapeut...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000566

    authors: Sicard A,Boardman DA,Levings MK

    更新日期:2018-10-01 00:00:00

  • Defining kidney allograft benefit from successful pancreas transplant: separating fact from fiction.

    abstract:PURPOSE OF REVIEW:To define the natural history of kidney allograft loss related to recurrent diabetes following transplant, and to understand the potential benefit of pancreas transplantation upon kidney allograft survival. RECENT FINDINGS:A postulated benefit of simultaneous pancreas kidney transplant is that, unlik...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000547

    authors: Wiseman AC,Stites E,Kennealey P

    更新日期:2018-08-01 00:00:00

  • Cardiac and pulmonary donor procurement.

    abstract:PURPOSE OF REVIEW:Within the United States, donor heart and lung procurement varies between institutions and among surgeons within the same institution sometimes. The purpose of this article is to review the history of donor heart and lung procurement, the surgical techniques, and pitfalls. RECENT FINDINGS:The current...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000530

    authors: Copeland H,Copeland J,Hayanga JWA

    更新日期:2018-06-01 00:00:00

  • Mechanical circulatory support challenges in pediatric and (adult) congenital heart disease.

    abstract:PURPOSE OF REVIEW:Increased miniaturization of ventricular assist devices (VADs) and new mechanical support strategies (MCS) has increased the use of MCS in the pediatric and congenital heart disease (CHD) population. This comes with the need for care providers specialized in this field to determine optimal patient and...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000522

    authors: Schweiger M,Lorts A,Conway J

    更新日期:2018-06-01 00:00:00

  • Obesity management in the liver transplant recipient: the role of bariatric surgery.

    abstract:PURPOSE OF REVIEW:The epidemic of obesity is having a marked impact on liver transplant candidates and recipients, and optimal approach for the obese liver transplant patient is not yet defined. The current review summarizes the role of bariatric surgery in obese liver transplant patients. RECENT FINDINGS:NASH is now ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000513

    authors: Bonner K,Heimbach JK

    更新日期:2018-04-01 00:00:00

  • Conquering combined thoracic organ and liver transplantation: indications and outcomes for heart-liver and lung-liver transplantation.

    abstract:PURPOSE OF REVIEW:Combined thoracic organ and liver transplantation has been shown to be a viable treatment option for patients with end-stage disease lung or heart and disease. There are increasing number of cases reported in the literature, as the number of institutions utilizing this strategy is growing. Herein, we ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000509

    authors: Yi SG,Lunsford KE,Bruce C,Ghobrial RM

    更新日期:2018-04-01 00:00:00

  • Recent advances in the field of warm ex-vivo liver perfusion.

    abstract:PURPOSE OF REVIEW:Organ shortage remains a major obstacle for liver transplantation, resulting in an increased mortality on the liver transplant waiting list. The usage of extended criteria donors (ECD) is a strategy to increase the number of available donor organs, however, with the risk of a higher rate of posttransp...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000471

    authors: Kollmann D,Selzner M

    更新日期:2017-12-01 00:00:00

  • Liver xenotransplantation.

    abstract:PURPOSE OF REVIEW:There continues to be an inadequate organ supply and lack of effective temporary support, for patients with liver failure. The purpose of this review is to discuss recent progress in the field of orthotopic pig-to-nonhuman primate (NHP) liver xenotransplantation (LXT). RECENT FINDINGS:From 1968 to 20...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000459

    authors: Patel MS,Louras N,Vagefi PA

    更新日期:2017-12-01 00:00:00

  • Total pancreatectomy with islet autotransplantation: recent updates and outcomes.

    abstract:PURPOSE OF REVIEW:Total pancreatectomy with islet autotransplantation (TPIAT) is a reliable therapy to retain endocrine function, to alleviate pain and improve quality of life in adult and pediatric patients suffering from refractory chronic pancreatitis and recurrent acute pancreatitis. Recently, an expansion of indic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000451

    authors: Shindo Y,Kanak MA

    更新日期:2017-10-01 00:00:00

  • Pneumonia after liver transplantation.

    abstract:PURPOSE OF REVIEW:Pneumonia occurs in 8-23% of patients after liver transplantation and contributes considerably to their morbidity and mortality. With the increasing acuity of liver transplantation patients in the current era, pneumonias, particularly ventilator-associated pneumonias, and multidrug-resistant pathogens...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000427

    authors: Angarita SAK,Russell TA,Kaldas FM

    更新日期:2017-08-01 00:00:00

  • Hepatitis E viral infection in solid organ transplant patients.

    abstract:PURPOSE OF REVIEW:The purpose of this chapter is to review the literature published in the past 10 years with focus to the best literatures published since 2015 regarding chronic hepatitis E virus (HEV) infection in patients who received solid organ transplantation. RECENT FINDINGS:Diagnosis of this disease relies pri...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000432

    authors: Fang SY,Han H

    更新日期:2017-08-01 00:00:00

  • Role of temperature in reconditioning and evaluation of cold preserved kidney and liver grafts.

    abstract:PURPOSE OF REVIEW:Organ shortage in transplantation medicine forces surgical research toward the development of more efficient approaches in organ preservation to enable the application of 'less than optimal' grafts. This review summarizes current techniques aiming to recondition cold-stored organ grafts prior to trans...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000402

    authors: Minor T,von Horn C,Paul A

    更新日期:2017-06-01 00:00:00

  • Are geographic differences in transplantation inherently wrong?

    abstract:PURPOSE OF REVIEW:Geographic variation in liver transplantation has been the subject of extensive scrutiny, reflecting concerns that location is unfairly determinative for people needing organ transplantation. Drawing upon a number of established ethical approaches, we examine whether geographic differences in access t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000400

    authors: Ladin K,Hanto DW

    更新日期:2017-04-01 00:00:00

  • Long-term effects of islet transplantation.

    abstract:PURPOSE OF REVIEW:Islet transplantation has made great progress in recent years. This is a remarkable technical feat but raises the question of what the long-term benefits and risks are for type I diabetes recipients. RECENT FINDINGS:Graft survival continues to improve, and recent multicenter studies show that islet t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000355

    authors: Holmes-Walker DJ,Kay TW

    更新日期:2016-10-01 00:00:00

  • Long-term outcome after pancreas transplantation: a registry analysis.

    abstract:PURPOSE OF REVIEW:Pancreas transplantation provides the only proven method to restore long-term normoglycemia in patients with insulin-dependent diabetes mellitus. Although many studies describe the most important risk factors for short-term survival of a pancreas transplant, more information about factors that disting...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000331

    authors: Gruessner AC,Gruessner RW

    更新日期:2016-08-01 00:00:00

  • Self-antigens and rejection: a proteomic analysis.

    abstract:PURPOSE OF REVIEW:Allo- and autoantibodies have been found to play important roles in both acute and chronic allograft rejection in organ transplantation, although only recently have non-human leukocyte antigen (non-HLA), nondonor-specific antibodies been given a more in-depth treatment. This review summarizes recent r...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000328

    authors: Yang JY,Sigdel TK,Sarwal MM

    更新日期:2016-08-01 00:00:00

  • Mechanisms of lung ischemia-reperfusion injury.

    abstract:PURPOSE OF REVIEW:Lungs are extremely susceptible to injury, and despite advances in surgical management and immunosuppression, outcomes for lung transplantation are the worst of any solid organ transplant. The success of lung transplantation is limited by high rates of primary graft dysfunction because of ischemia-rep...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000304

    authors: Laubach VE,Sharma AK

    更新日期:2016-06-01 00:00:00

  • Expansion of the criteria for living donor liver transplantation for hepatocellular carcinoma.

    abstract:PURPOSE OF REVIEW:Several expanded criteria for liver transplantation for hepatocellular carcinoma (HCC) have been suggested out of concern that the Milan criteria may be too strict, and thereby exclude patients who could benefit from this surgical procedure. However, most expanded criteria were designed for deceased d...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000294

    authors: Lee HW,Suh KS

    更新日期:2016-04-01 00:00:00

  • The microbiome and its implications in intestinal transplantation.

    abstract:PURPOSE OF REVIEW:This article summarizes the complex interplay between the microbiota and host immune responses, and its impact on intestinal transplantation and allograft rejection. RECENT FINDINGS:Recent findings highlight the importance of Paneth cells as crucial producers of antimicrobial peptides that control th...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000278

    authors: Kroemer A,Elsabbagh AM,Matsumoto CS,Zasloff M,Fishbein TM

    更新日期:2016-04-01 00:00:00

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