LIVING-RELATED LIVER-TRANSPLANTATION ACROSS ABO BLOOD-GROUPS - EVALUATION OF HEMODYNAMICS WITH TISSUE NEAR-INFRARED SPECTROSCOPY

被引：39

作者：

TANAKA, A

TANAKA, K

KITAI, T

YANABU, N

TOKUKA, A

SATO, B

MORI, S

INOMOTO, T

SHINOHARA, H

UEMOTO, S

TOKUNAGA, Y

INOMATA, Y

YAMAOKA, Y

机构：

[1] Second Department of Surgery, Kyoto University, Kyoto

来源：

TRANSPLANTATION | 1994年 / 58卷 / 05期

关键词：

D O I：

10.1097/00007890-199409150-00004

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We performed 13 pediatric liver transplants from ABO-incompatible living related maternal or paternal donors using a combination of preoperative removal of isohemagglutinin and postoperative immunosuppressive therapy with FK506 and prophylactic OKT3, Tissue near-infrared spectroscopy was applied to evaluate hemodynamics using the hemoglobin of red cells in the sinusoids as an index. The data obtained indicated that the preoperative removal of isohemagglutinin prevented hyperacute humoral rejection with hemorrhagic infiltration in the sinusoids in 10 successful cases. The incidence of acute rejection was not significantly different among ABO-identical, -compatible, and incompatible groups. The estimated 1-year survival rate of the ABO-incompatible group was 77%.

引用

页码：548 / 553

页数：6

共 27 条

[1] THE LATE ADVERSE EFFECT OF SPLENECTOMY ON PATIENT SURVIVAL FOLLOWING CADAVERIC RENAL-TRANSPLANTATION [J].