Pulmonary hypertension common in kidney transplant recipients

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Patients with pulmonary hypertension who underwent kidney transplantation had similar posttransplant outcomes at 5 years compared with those without pretransplant pulmonary hypertension, researchers reported in Pulmonary Circulation.

“Pulmonary hypertension more than doubles the risk of all-cause and cardiovascular-specific mortality in those on dialysis, and it increases the risk of adverse perioperative outcomes including death in noncardiac surgeries irrespective of kidney function. 
Read the full article in Healio.

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Study Supports Expanded Use of HCV-Infected Liver Donation

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– Post-transplant survival similar between recipients with active or prior HCV infection

With the advent of direct-acting antiviral therapy for hepatitis C virus (HCV) in the post-liver transplant setting, we are seeing more and more HCV-infected donor livers offered to patients awaiting liver transplant. Post-liver transplant outcomes for patients with HCV-associated hepatocellular carcinoma (HCC) who receive HCV-infected donor livers are not well established.

A recent study, published in Clinical Gastroenterology and Hepatology, utilized the United Network for Organ Sharing (UNOS) registry to classify patients with HCV-related HCC (with either prior infection or active viremia) who received HCV-infected donor livers. Overall, the post-liver transplant survival outcomes were similar between recipients with active HCV infection and those with prior infection. Clinically, this study supports consideration of expanded use of HCV-infected liver donation to improve access to liver transplantation. Read more on MedPage Today.

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How organ donations broke records even during the pandemic

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Last fall, Jeff Hackman’s kidney disease turned serious. He felt tired all the time, got winded easily. Years earlier, his older sister, Dawn Martin of Marietta, made a promise: when the time comes, she would gladly donate one of hers. Within a few months, the siblings, who were a good match, passed a battery of tests, and a surgery date was set for Dec. 8.

But with omicron sweeping through the country at a dizzying pace, the siblings were filled with worry about the timing for this life-saving procedure, concerned the pandemic could delay the surgery or even thwart the procedure indefinitely. Click here to read the story in the Atlanta Journal-Constitution.

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New study reveals that healthy plant-based diets are associated with a lower risk of developing diabetes

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New research published in Diabetologia (the journal of the European Association for the Study of Diabetes [EASD]) finds that the consumption of healthy plant-based foods, including fruits, vegetables, nuts, coffee, and legumes, is associated with a lower risk of developing type 2 diabetes (T2D) in generally healthy people and support their role in diabetes prevention. Read the study in ScienceDaily here.

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Low-Salt Diet Helpful for HF Symptoms, but Not Necessarily for Clinical Events

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— Sodium restriction still holds its ground in SODIUM-HF trial


WASHINGTON — A dietary intervention reduced sodium intake, but did not reduce clinical events, for people with heart failure (HF), according to the SODIUM-HF trial.

Between patients randomized to a low-sodium diet or usual care for 12 months, there was no statistically significant difference in the combined outcome of cardiovascular-related admissions to hospital, cardiovascular-related emergency department visits, and all-cause death in the trial (15% vs 17%, HR 0.89, 95% CI 0.63-1.26), reported Justin Ezekowitz, MBBCh, of the University of Alberta in Edmonton, Canada. Read more in MedPage Today.

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Hepatitis C and Kidney Transplants: Possibilities, Risks, and Outlook

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Hepatitis C is a viral infection that causes liver damage. It’s spread through contaminated blood, for example, if you inject drugs with a needle that was used by someone with the virus.

It doesn’t typically cause symptoms right away, so it’s hard to know if you have it. Over time, though, the hepatitis C virus (HCV) can start to affect your liver function, leading to symptoms like fatigue and jaundice. Read the full story in Healthline here.

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Stroke While on LVAD No Barrier to Successful Heart Transplant

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— It doesn’t help, for sure, but it doesn’t seem to hurt greatly either

SEATTLE — Perhaps the biggest downside of left ventricular assist devices (LVADs) for people with end-stage heart failure is the substantial risk of strokes they bring. But a new study indicates that patients can still proceed to successful heart transplant after an LVAD-related stroke.

Among patients suffering strokes after receiving LVADs as bridge-to-transplant therapy at one major referral center, and then proceeding to transplant, medium- and long-term outcomes were just as good as for stroke-free LVAD recipients, reported Aaron Shoskes, DO, of the Cleveland Clinic in Ohio. Read more on MedPage Today.

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Post-Transplant Diabetes Risk Informed by Polygenic Risk Profiles in Donors, Recipients

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NEW YORK – Taking organ donor and recipient genetics into consideration — via a polygenic risk score (PRS) — may help identify individuals at risk of developing diabetes after a solid organ transplant.

“Our study demonstrates the importance, and the potential application, of PRS in solid organ transplantation,” co-first and corresponding author Abraham Shaked, a researcher at the University of Pennsylvania’s Penn Transplant Institute, and his coauthors wrote in Nature Medicine on Thursday. Read the story in GenomeWeb here.

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‘Lungs In A Box’ Procedure Could Drastically Reduce Organ Waitlists: Doctors

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A unique lung transplant procedure has arrived at Northwestern Medicine in downtown Chicago

A unique procedure at Northwestern could cut down long waiting lists for those in need of a lung transplant.

Nicknamed “lungs in a box,” the ex-vivo lung perfusion procedure allows donated lungs to be examined for hours at a time on a machine – after being extracted from the body. The organs are then hooked up to a machine that simulates the breathing of a human body.
Read/watch the full story on NBC 5 Chicago here.

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