TABLE 2.
Modifications in ITx practices during the study period 2003–2020
Year | |
---|---|
2008 | |
Pre-ITx recipient screening for preformed anti-HLA antibodies by single-antigen assay. | |
Virtual cross-matching for identification of preformed, donor-specific anti-HLA antibodies. | |
Substitution of induction immune suppression using basiliximab (postoperative d 0 and 4, 10–20 mg/dose), formerly for all ITx recipients, with rabbit antithymocyte globulin for sensitized ITx recipients defined by panel reactive anti-HLA antibody level >20% or positive crossmatch (postoperative d 0–4, 1.5 mg/kg/d). | |
2009 | |
Standardized inclusion of graft ileocecal valve and graft ascending/transverse colon. | |
Loop in preference to Santulli ileostomy. | |
2012 | |
High-dose intravenous immunoglobulin, rituximab (anti-CD20 monoclonal antibody), and plasmapheresis immediately before and after ITx in HLA antibody-sensitized recipients. | |
Monitoring for donor-specific anti-HLA antibodies arising de novo after ITx and treatment with intravenous immunoglobulin when present. |
ITx, intestinal transplant.