Int J Angiol 2012; 21(02): 107-110
DOI: 10.1055/s-0032-1315622
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Treatment of Late Class II Antibody-Mediated Rejection Status Postkidney Transplantation: Two Case Reports

Eric Siskind
1   North Shore Long Island Jewish Health System Transplantation Center, Manhasset, New York
,
Madhu Bhaskaran
1   North Shore Long Island Jewish Health System Transplantation Center, Manhasset, New York
,
Fouad Boctor
1   North Shore Long Island Jewish Health System Transplantation Center, Manhasset, New York
,
Kavin Shah
1   North Shore Long Island Jewish Health System Transplantation Center, Manhasset, New York
,
Ernesto Molmenti
1   North Shore Long Island Jewish Health System Transplantation Center, Manhasset, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
28 May 2012 (online)

Abstract

We are describing the successful treatment of two cases of late Class II antibody mediated rejection status postkidney transplantation. The first patient was treated with a combination of plasmapheresis, intravenous immunoglobulin (IVIG), and stenting of the transplanted renal artery. The second was treated with IVIG and pulse steroids.

 
  • References

  • 1 Sureshkumar KK, Oti IU, Baroody SC , et al. Treatment of antibody-mediated rejection after kidney transplantation. Transplant Proc 2008; 40 (5) 1373-1374
  • 2 Rodríguez Ferrero M, Rincón A, Bucalo L, Rementería A, Anaya F. Treatment of acute antibody-mediated rejection: a single-center experience. Transplant Proc 2010; 42 (8) 2848-2850
  • 3 Slatinska J, Honsova E, Burgelova M, Slavcev A, Viklicky O. Plasmapheresis and intravenous immunoglobulin in early antibody-mediated rejection of the renal allograft: a single-center experience. Ther Apher Dial 2009; 13 (2) 108-112
  • 4 Lefaucheur C, Nochy D, Andrade J , et al. Comparison of combination Plasmapheresis/IVIg/anti-CD20 versus high-dose IVIg in the treatment of antibody-mediated rejection. Am J Transplant 2009; 9 (5) 1099-1107
  • 5 Kaposztas Z, Podder H, Mauiyyedi S , et al. Impact of rituximab therapy for treatment of acute humoral rejection. Clin Transplant 2009; 23 (1) 63-73
  • 6 Lucas JG, Co JP, Nwaogwugwu UT, Dosani I, Sureshkumar KK. Antibody-mediated rejection in kidney transplantation: an update. Expert Opin Pharmacother 2011; 12 (4) 579-592 Review
  • 7 Locke JE, Zachary AA, Haas M , et al. The utility of splenectomy as rescue treatment for severe acute antibody mediated rejection. Am J Transplant 2007; 7 (4) 842-846
  • 8 Nair R, Agrawal N, Lebaeau M, Tuteja S, Chandran PK, Suneja M. Late acute kidney transplant rejection: clinicopathological correlates and response to corticosteroid therapy. Transplant Proc 2009; 41 (10) 4150-4153 Erratum in Transplant Proc 2010;42(2):673
  • 9 Hill GS, Nochy D, Loupy A. Accelerated arteriosclerosis: a form of transplant arteriopathy. Curr Opin Organ Transplant 2010; 15 (1) 11-15 Review
  • 10 Takemoto SK, Zeevi A, Feng S , et al. National conference to assess antibody-mediated rejection in solid organ transplantation. Am J Transplant 2004; 4 (7) 1033-1041