Abstract:Transplantation is the standard of care for end-stage renal disease patients, but we still have a long way to go, as we need to improve long-term outcomes. The manipulation of the immune system is a delicate undertaking, with risks of adverse events; therefore, risk versus benefit needs to be carefully evaluated and treatment needs to be individualized.
“…In addition, a variety of new agents, such as borezomib or eculizumab, have shown promise in reducing DSAs and overcoming AMR. 18,19 Whether they may be beneficial to desensitization is unclear. Ilahe et al 19 provided a thought-provoking overview on some of the benefits and drawbacks of these new agents and their potential application to desensitization efforts.…”
Preemptive perioperative desensitization improved overall graft survival of sensitized patients compared to historic untreated patients. Plasmapheresis/IVIG had greater impact on DSA eradication and graft survival than IVIG alone.
“…In addition, a variety of new agents, such as borezomib or eculizumab, have shown promise in reducing DSAs and overcoming AMR. 18,19 Whether they may be beneficial to desensitization is unclear. Ilahe et al 19 provided a thought-provoking overview on some of the benefits and drawbacks of these new agents and their potential application to desensitization efforts.…”
Preemptive perioperative desensitization improved overall graft survival of sensitized patients compared to historic untreated patients. Plasmapheresis/IVIG had greater impact on DSA eradication and graft survival than IVIG alone.
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