Sancho A, Gavela E, Crespo JF, Górriz JL, Avila A, Nuñez A, Molina P, García-Ramos JL, Montoro J, Pallardó LM. [Renal transplantation with positive crossmatch].
Nefrologia 2006;
26:261-6. [PMID:
16808265]
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Abstract
INTRODUCTION
Lymphocytotoxic antibodies reduce the expectancy of renal transplantation due to the increased risk of a positive crossmatch.
MATERIAL AND METHODS
We analyzed the evolution of eight kidney transplants performed in our unit in presence of a positive crossmatch with historical T and/or B lymphocyte positive crossmatches.
RESULTS
Mean panel reactivity was 76,6 +/- 25,7% (r: 22-100%), been higher than 75% in six patients. Six patients were recipients of a second or third transplant. Immunosuppression consisted of quadruple therapy including induction with thymoglobuline. Five patients had delayed graft function, and one had primary non-function of the graft. One patient lost her graft due to chronic allograft nephropathy in the second year postransplantation. Six patients maintained a good renal function (serum creatinine 1,2 +/- 0,5 mg/dl, proteinuria 0,20 +/- 0,34 g/day).
CONCLUSION
Renal transplantation in presence of a positive cross-match with historical serum and T lymphocytes and/or B lymphocytes, was followed by a satisfactory graft survival.
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