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同时心脏移植中BK的结果:一个3中心的经验
Alex Nica1, Suman Misra2, D Eric Steidley3
1Mayo Alix School of Medicine, Mayo Clinic, Phoenix, AZ.
概括
在心脏脏移植后,BK多重瘤病毒DNAemia很常见,增加脏排斥风险. 然而,它不会影响患者的生存率或整体全移植功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 病毒学 病毒学
背景情况:
- 在移植接受者中,BK多聚马病毒DNAemia很普遍.
- 在同时接受心移植的接受者中,BK多病毒DNAemia的数据有限.
- 了解BK多病毒DNAemia对于管理移植结果至关重要.
研究的目的:
- 评估在同时接受心移植的接受者中BK多重瘤病毒DNAemia的患病率.
- 为了确定BK多病毒DNAemia相关性病的发病率.
- 评估BK多重病毒DNAemia对全移植功能和患者存活率的影响.
主要方法:
- 从2005年1月到2022年6月进行的回顾性研究.
- 在心脏脏移植接受者中分析BK多重型病毒DNAemia和病率.
- 在BK多重病毒DNAemia阳性和阴性组之间对结果的比较.
主要成果:
- 38%的接受者患上了BK多聚马病毒DNAemia; 47%的接受者患上了病.
- 乙基多病毒DNAemia与显著更高的脏排斥率相关 (47%与25%相比).
- 没有观察到患者存活率或全移植功能的显著差异.
结论:
- 在心脏-脏移植中,BK多重型病毒DNAemia和相关的病是常见的.
- 乙基多聚马病毒DNAemia增加脏排斥的风险,但不会影响患者的生存率.
- 管理策略可能需要考虑对移植的影响.
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