Pediatric Transplantation

Abstract of changes in thoracic radio density after living donor liver transplantation

Timely transplantation has the largest impact on survival in pediatric recipients. Improving waitlist mortality requires uniform surgical expertise at many transplant centers to provide technical variant graft options.

Pediatric heart transplant patients who are within normal and overweight BMI categories have the best markers of exercise capacity and have reduced fitness compared to peers without heart transplant.

Patients with far less therapy before apheresis weremore likely to mobilize successfully. Our study provides a detailedpractice approach including complications during APSCA aiming to increase thesuccess rates of apheresis in transplantation centers.

Post-transplant diaphragmatic hernia (PTDH) is a rare complication. In cases where symptoms arise later, inadvertent injury to the inferior phrenic vasculature, possibly stemming from the excessive use of cauterization for hemostasis control, could offer a plausible explanation.

The presence of two biliary anastomoses, and post-transplant complications including acute cellular rejection and early biliary leaks were associated with biliary strictures in pediatric liver transplantation recipients.

Given the variability in pediatric donor heart utilization among OPOs, we examined factors that may explain this variability, including differences in donor medical management, organ quality, and candidate factors.

The humoral immune response to two doses of the SARS-CoV-2 BNT 162B2 vaccine in PKTRs is suboptimal compared to that in dialysis patients and PKTRs with hybrid immunity.

This retrospective review evaluated the utilization of a multidisciplinary pathway for immediate extubation in pediatric liver transplantation. Our results show that approximately 70% of patients were able to be immediately extubated, with 2.5% requiring re-intubation. Those immediately extubated had decreased HFNC, lower infection rates, shorter LOS, and decreased mortality.

Our single center study evaluated the effect of socioeconomic status on pediatric orthotopic heart transplant patients from 2013-2021. While similar past studies had found disparities based on SES, our study did not find any statistically significant differences in patient outcomes between low and high SES groups.