[Extensive plasma exchange in treatment of acute vascular graft rejection of the kidney and pancreas].
Twenty-eight histologically proven severe acute vascular rejection episodes in renal grafts were reversed in 22/28 (78%) cases by extensive plasma exchange, which was well-tolerated by all but one patient. CMV infection was the most frequent complication. As 1-year survival of 93% (patient) and 71% (graft) is considered a good result in this severe immunological complication, the extensive plasma exchange can be recommended for the treatment of acute vascular rejection.
Bösmüller
C
C
Klinische Abteilung für Transplantationschirurgie, Universitätsklinik für Chirurgie, Innsbruck.
Nussbaumer
W
W
Spechtenhauser
B
B
Feichtinger
H
H
Schönitzer
D
D
Margreiter
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D006084:Graft Rejection / Q000276:immunology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000473:pathology; D016030:Kidney Transplantation / Q000276:immunology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply / Q000473:pathology; D016035:Pancreas Transplantation / Q000276:immunology* / Q000473:pathology; D015996:Survival Rate; D016896:Treatment Outcome; D014657:Vasculitis / Q000276:immunology / Q000473:pathology / Q000628:therapy
Extensiver Plasma-Austausch zur Behandlung der akuten vaskulären Abstossungsreaktion der Niere und des Pankreas.