|
KMID : 0361120110250010038
|
|
Korean Journal of Transplantation
2011 Volume.25 No. 1 p.38 ~ p.42
|
|
|
Case of ABO-Incompatible Living Donor Kidney Transplantation without Blood Products in a Jehovah’s Witness
|
|
Choi An-Sook
Yu Seong-Min
Lee Jin-Ho
Oh Joon-Seok
Kim Sung-Min
Shin Yong-Hun
Kim Joong-Kyung
|
|
|
Abstract
|
|
|
|
ABO-incompatible kidney transplantations have been performed successfully in Korea without splenectomy using plasmapheresis, anti-CD20 monoclonal antibody infusions and other immunosuppressants. However, there is no report of a case of ABO-incompatible kidney transplantation in a Jehovah’s Witness. Hence, we report our experience of successful ABO-incompatible kidney transplantation without blood products in a Jehovah’s Witness. The recipient was treated with six sessions of plasmapheresis and he received intravenous rituximab before transplantation. Immunosuppressive regimen consisted of tacrolimus, mycophenolate mofetil and steroid. The replacement fluid for plasmapheresis was 5% albumin solution instead of fresh frozen plasma. We measured the clotting factors before and after plasmapheresis and used cryoprecipitate to prevent bleeding.
|
|
|
KEYWORD
|
|
|
ABO-incompatible kidney transplantation, Clotting factors, Jehovah’s Witness
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|