Abstract
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.
MeSH terms
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Adolescent
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Adult
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Aged
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Child
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Exchange Transfusion, Whole Blood*
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Female
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Graft Rejection / immunology
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Graft Rejection / pathology
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Graft Rejection / therapy*
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Humans
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Kidney / blood supply
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Kidney / pathology
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Kidney Transplantation / immunology*
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Kidney Transplantation / pathology
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Male
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Middle Aged
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Pancreas / blood supply
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Pancreas / pathology
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Pancreas Transplantation / immunology*
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Pancreas Transplantation / pathology
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Survival Rate
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Treatment Outcome
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Vasculitis / immunology
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Vasculitis / pathology
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Vasculitis / therapy