[Noninvasive monitoring of rejection in heart transplant patients. An overview of current status and use at a small transplant center].
In view of the numerous techniques known for noninvasive rejection monitoring for heart transplant recipients, it is important, especially for small transplant centres, to select suitable parameters for routine monitoring. We verified the methods for rejection monitoring and on the basis of the good results after orthotopic heart transplantation in our unit (33 patients, 78% overall survival, no death later than 6 months after transplantation), consider the following parameters useful for small transplant centres: heart/thorax ratio, echocardiography and neopterin. The Fast-Fourier analysis should prove of great value for small transplant units, given the availability of suitable apparatuses.
Wasler
A
A
Department für Allgemein- und Herzchirurgie, Universitätsklinik für Chirurgie, Graz.
Petutschnigg
B
B
Iberer
F
F
Auer
T
T
Tscheliessnigg
K H
KH
D001706:Biopsy; D001708:Biopterins / Q000031:analogs & derivatives / Q000652:urine; D004452:Echocardiography / Q000295:instrumentation; D004562:Electrocardiography / Q000295:instrumentation; D004699:Endocardium / Q000473:pathology; D006084:Graft Rejection / Q000502:physiology*; D016027:Heart Transplantation / Q000502:physiology*; D006801:Humans; D008213:Lymphocyte Activation / Q000276:immunology; D009206:Myocardium / Q000473:pathology; D019798:Neopterin; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation; D013601:T-Lymphocytes / Q000276:immunology
D001708:Biopterins; D019798:Neopterin
Nichtinvasives Abstossungsmonitoring bei Herztransplantations-Patienten. Ein Uberblick über den derzeitigen Stand und die Anwendung aus der Sicht eines kleinen Zentrums.