ASTS NewsBrief
Jun. 17, 2013

Boston hospital to offer hand transplants for kids
The Associated Press via The Boston Globe
A Boston hospital is starting the world's first hand transplant program for children, and doctors say it won't be long until face transplants and other radical operations to improve appearance and quality of life are offered to kids, too. More

ASTS and AST issue position statement on allocation policy review
ASTS and AST issued a joint statement in response to recent media attention to allocation policy. ASTS supports ongoing refinement of policies to best serve patients and believes this is best accomplished through the established OPTN processes.More

ASTS congratulates 2013 research grant recipients
Recipients of the 2013 ASTS Research Grants received their awards at the Grants Recognition Ceremony at the American Transplant Congress. More

2013 ASTS Transplant Surgeon Compensation Survey available
The 2013 ASTS Transplant Surgeon Compensation Survey Report is now available for purchase in the ASTS store (please log in for member pricing). Individuals can use it to easily compare their salary and benefits with their peers, while institutions can use the data to benchmark compensation. A staff level and a leadership level version of the results are available. More

Will girl's transplant hurt system?
The campaign to move a dying 10-year-old onto the waiting list for adult lungs has succeeded: Sarah Murnaghan underwent transplant surgery in Philadelphia and she has a good chance at a longer life. What may never be known is who may have suffered in her stead. When one person moves up an organ transplant waiting list, another person may move down.More

Babies may benefit from liver transplant advances
HealthDay News via U.S. News & World Report
Transplanting partial livers from deceased teen and adult donors to infants is less risky than in the past and helps save lives, according to a new study. The risk of organ failure and death among infants who receive a partial liver transplant is now comparable to that of infants who receive whole livers, according to the study, which was published online in the June issue of the journal Liver Transplantation.More

Liver transplant anesthesia guidelines a 'landmark'
Anesthesiology News
Experts are applauding new recommendations for the administration of anesthesia during liver transplant surgery that offer formal recognition that anesthesiologists are critical to optimizing transplant patient care. The document, from the Organ Procurement and Transplant Network (OPTN)/United Network for Organ Sharing (UNOS), set qualification requirements for directors of liver transplant anesthesia.More

Infection, cardiovascular disease more prevalent among liver transplant recipients with metabolic syndrome
The presence of metabolic syndrome post-liver transplantation increased the risk for infection and cardiovascular disease, according to data presented at Digestive Disease Week. In a retrospective cohort study, researchers evaluated 158 patients who underwent liver transplantation between 2002 and 2007 at a single medical facility, with follow-up through September 2012. The presence of metabolic syndrome (MetS) before transplant and at six and 12 months post-transplant was determined in each case.More

Kids with new hearts often skip meds
MedPage Today
Among pediatric heart transplant recipients, failure to adhere to immunosuppressive medication is relatively common and is associated with a high mortality rate, researchers found. Over a seven-year period, 9 percent of heart transplant recipients younger than 18 were non-adherent at least once, which set back his or her recovery, according to Dr. Christopher Almond, MPH, of Boston Children's Hospital, and colleagues.More

The effectiveness of the combination of rituximab and high-dose immunoglobulin in the immunomodulation of sensitized kidney transplant candidates
Clinical Transplantation (login required)
Kidney transplantation faces many challenges not the least of which is the presence of pre-formed HLA antibodies. At our institution, we have used a combination of methods to immunomodulate sensitized patients. Most recently, this has been attempted with a combination of immunoglobulin (IVIG) and rituximab.More

Results of pretransplant treatment of hepatorenal syndrome with terlipressin
Current Opinion in Organ Transplantation (login required)
Hepatorenal syndrome (HRS) is a dreaded complication of end-stage liver disease. The best treatment option for HRS is liver transplantation (LT) in suitable candidates. Pretransplant care of HRS is of utmost importance in order to secure a good posttransplant outcome. In a recent study, advances during the last year in the diagnosis and management of HRS in candidates who are awaiting liver transplantation are reviewed.More

Echocardiography for the detection of portopulmonary hypertension in liver transplant candidates: An analysis of cutoff values
Liver Transplantation (login required)
Portopulmonary hypertension (POPH), a complication of chronic liver disease, may be a contraindication to liver transplantation (LT) because of the elevated risk of peritransplant and posttransplant morbidity and mortality. Because POPH is frequently asymptomatic, screening with echocardiography is recommended.More