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International Journal of Organ Transplantation Medicine، جلد ۲، شماره ۴، صفحات ۰-۰

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عنوان انگلیسی Induction with Rabbit Antithymocyte Globulin following Orthotopic Liver Transplantation for Hepatitis C
چکیده انگلیسی مقاله Background: Hepatitis C (HCV) is the most common indication for liver transplantation in the US. Objective: Since steroids are the major stimulus of viral replication, we postulated that steroid-free immunosuppression might be a safer approach. Methods: From January 1995 to October 2002, we used steroid plus calcineurin inhibitor (CNI) immunosuppression after liver transplantation for HCV (steroid group, n=81). From October 2002 to June 2007, rabbit antithymocyte globulin (RATG) induction, followed by CNI and azathioprine (RATG group, n=73) was utilized. Results: There were no differences in 1- and 3-year patient/allograft survival rates. The incidence of acute rejection rate (19% vs. 28%), of biopsy-proven HCV recurrence (70% vs. 75%), and chronic rejection (6% vs. 9%) were comparable. The mean time to develop recurrent HCV was significantly longer in the RATG group (16.2 vs. 9.2 months, p=0.008). The incidence of severe portal fibrosis appears to be lower in RATG group compared to the steroid group; 14% vs. 4% (p=0.07). Conclusions: RATG induction is safe and effective after liver transplantation for HCV, but has no impact on the incidence of HCV recurrence and patient/allograft survival. However, a significant delay in time to HCV recurrence and a trend toward less rejection and portal fibrosis was observed.
کلیدواژه‌های انگلیسی مقاله Liver transplantation,Hepatitis C,Induction,Recurrence

نویسندگان مقاله rf سعیدی | rf saidi


m hertl | m hertl


rt چانگ | rt chung


dsc ko | dsc ko


t kawai | t kawai


j markmann | j markmann


k bhan | k bhan


ab cosimi | ab cosimi


n الیاس | n elias



نشانی اینترنتی http://www.ijotm.com/ojs/index.php/IJOTM/article/view/90
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