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Sensitization in Heart Transplantation: Emerging Knowledge: A Scientific Statement From the American Heart Association
Ist Teil von
Circulation (New York, N.Y.), 2019-03, Vol.139 (12), p.e553-e578
Ort / Verlag
United States: by the American College of Cardiology Foundation and the American Heart Association, Inc
Erscheinungsjahr
2019
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Sensitization, defined as the presence of circulating antibodies, presents challenges for heart transplant recipients and physicians. When present, sensitization can limit a transplantation candidate’s access to organs, prolong wait time, and, in some cases, exclude the candidate from heart transplantation altogether. The management of sensitization is not yet standardized, and current therapies have not yielded consistent results. Although current strategies involve antibody suppression and removal with intravenous immunoglobulin, plasmapheresis, and antibody therapy, newer strategies with more specific targets are being investigated.