Abstract:The purpose of this study was to investigate the clinical relevance of conversion of post-transplant T cell crossmatch between kidney donor and recipient. This study comprises 892 cadaveric renal transplantations performed on 874 adult patients between August 1991 and December 1997. Recipient selection was based on a negative complement-dependent cytotoxic T cell crossmatch test with current (< or = 2 months old) serum. For this study, on day 0 and day 14 after transplantation, serum samples were collected for… Show more
“…Because immunologically high-risk patients were excluded from this study, it is not surprising that overall DGF (17.4%) and rejection frequencies (14.8%) were substantially lower than in our previous study (10). This may, at least in part, explain the finding that T-cell IgG FCXMs did not convert to positive except in two of these study patients during the follow-up of 1 year.…”
Section: Discussioncontrasting
confidence: 64%
“…We have previously demonstrated that conversion of T-cell crossmatch to positive on day 14 after transplantation, especially in connection with DGF, identified a subgroup of patients at high risk of severe rejection and poor graft survival (10).…”
In immunologically low-risk kidney-graft recipients, positive T-cell IgM FCXM at transplantation was found to be a risk factor for rejection episodes. Conversion of T-cell IgM FCXM to positive was found to be associated with CMV infections.
“…Because immunologically high-risk patients were excluded from this study, it is not surprising that overall DGF (17.4%) and rejection frequencies (14.8%) were substantially lower than in our previous study (10). This may, at least in part, explain the finding that T-cell IgG FCXMs did not convert to positive except in two of these study patients during the follow-up of 1 year.…”
Section: Discussioncontrasting
confidence: 64%
“…We have previously demonstrated that conversion of T-cell crossmatch to positive on day 14 after transplantation, especially in connection with DGF, identified a subgroup of patients at high risk of severe rejection and poor graft survival (10).…”
In immunologically low-risk kidney-graft recipients, positive T-cell IgM FCXM at transplantation was found to be a risk factor for rejection episodes. Conversion of T-cell IgM FCXM to positive was found to be associated with CMV infections.
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