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ABO-Incompatible Liver Transplantation–A Review of the Historical Background and Results

Review article
Authors Ulrika Skogsberg Dahlgren
William Bennet
Published in International Reviews of Immunology
Volume 38
Issue 3
Pages 118-128
ISSN 0883-0185
Publication year 2019
Published at Institute of Clinical Sciences, Department of Surgery
Pages 118-128
Language en
Keywords ABO-incompatible, antibody, liver, rejection, transplantation
Subject categories Immunology in the medical area


ABO-incompatible liver transplantation (ABOi LT) using conventional immunosuppression has been considered a contraindication due to the high risk for antibody-mediated complications potentially resulting in graft loss. However, organ shortage has led to the development of anti-A/B antibody reducing immunosuppressive protocols which have made the outcome after living donor (LD) ABOi LT equivalent to that achieved with LD ABO-compatible (ABOc). The experience of deceased donor (DD) ABOi LT is however still limited. In this article, we discuss the historical background and the results after ABOi LT, in the setting of both LD and DD transplantation. We also discuss the remaining hurdles and future strategies in the breaching of the ABO barrier for LT. © 2019, © 2019 Taylor & Francis Group, LLC.

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