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1 a negative complement-dependent cytotoxicity crossmatch.
2 or specificity for antibody identified by FC crossmatch.
3 had a positive donor-specific retrospective crossmatch.
4 ength assignment, and the use of pronase for crossmatch.
5 m 598 kidney recipients with negative T-cell crossmatch.
6 ients were transplanted with a positive flow crossmatch.
7 donor organs without actually performing the crossmatch.
8 nsplant kidney donor specific flow cytometry crossmatch.
9 n and increase the likelihood for a negative crossmatch.
10 nts were performed with a negative "current" crossmatch.
11 ssmatch and six because of a positive B cell crossmatch.
12 fficient to cause a positive flow cytometric crossmatch.
13 itive reactions in the B-cell flow cytometry crossmatch.
14 or retrospective rather than a pretransplant crossmatch.
15 egative anti-human globulin (AHG) T-cell IgG crossmatch.
16 (1990 to 1997) using only the AHG T-cell IgG crossmatch.
17 donor when using allocation based on virtual crossmatch.
18 P<0.02) but no increased risk of a positive crossmatch.
19 ositive virtual crossmatch and negative flow crossmatch.
20 All patients had a negative crossmatch.
21 inal/MV transplants, 27 (21%) had a positive crossmatch.
22 ceeded to transplantation with an acceptable crossmatch.
23 had negative complement-dependent cytotoxic crossmatch.
24 irtual crossmatch had negative retrospective crossmatches.
25 ed to patients with positive flow cytometric crossmatches.
26 e predominantly providing negative sensitive crossmatches.
27 ecipient's sensitization, and postallocation crossmatches.
28 le, and offers some advantages over platelet crossmatching.
29 ody specificity and 10 underwent prospective crossmatching.
30 by leukoagglutination or lymphocytotoxicity crossmatching.
31 tive antibody (PRA) > or = 40%; negative ROP crossmatch; (2) 0 B,DR MM with > or = 40% PRA; negative
38 litating transplantation with a negative CDC crossmatch against historically strong, C1q binding anti
43 ndent cytotoxicity (CDC) crossmatch with CDC crossmatch alone, and determined the optimal threshold t
44 a negative or weakly positive flow-cytometry crossmatch and 86.7% (13/15) with zero or only low-titer
47 protocol was predictive of a negative-final crossmatch and eliminated the use of preliminary cross-m
49 d renal transplant recipients (negative flow crossmatch and positive donor-specific antibodies) treat
50 ly two occurred because of a positive T cell crossmatch and six because of a positive B cell crossmat
51 ivity was assessed by direct flow cytometric crossmatch and studied following elution from pig cells.
52 be likely to give a positive flow cytometry crossmatch and therefore according to local procedures r
54 lants were done with negative flow cytometry crossmatches and five were done with desensitization com
55 would be expected to display negative donor crossmatches and who could be transplanted with a concur
58 xicity crossmatches, positive flow cytometry crossmatches, and/or the presence of high levels of dono
59 ual crossmatch, those undergoing prospective crossmatching, and those without HLA-specific antibodies
60 r-recipient pair) on the basis of a positive crossmatch; and (3) an indirect exchange on the basis of
61 ) that predicts the likelihood of a positive crossmatch as a function of a transplant candidate's una
62 s of variability in both the solid phase and crossmatch assay are discussed as are recent data regard
66 complexity of the data from solid phase and crossmatch assays has led to potential confusion about h
67 A > or = 11% despite negative donor-specific crossmatch at the time of transplant appear to have earl
71 i.e. those with a baseline B flow cytometric crossmatch (BFXM) >450 against a potential living donor.
72 cytometry is a powerful technique for T-cell crossmatching but is prone to false-positive reactions w
73 lantation, no patient had a positive AHG-CDC crossmatch, but again the majority had persistent low le
74 , predictive values for the CDC T and B cell crossmatches by Luminex serum analysis were only 77% and
77 ty negative and flow cytometry (FC) positive crossmatch carry increased risk of antibody-mediated rej
79 with negative complement-dependent cytotoxic crossmatch (CDC-XM) and donor cell-based flow cytometric
80 derwent complement-dependent lymphocytotoxic crossmatch (CDC-XM) with pre- and posttransplant solid p
83 eactive antibodies, donor specific antibody, crossmatches (CMXs), patient and graft survival, acute r
85 reduced to the goal of a negative lymphocyte crossmatch, corresponding to a 1:16 titer, despite a sig
86 t that the timing of the pretransplant serum crossmatch could be altered for a highly selected group
87 before transplantation because of a positive crossmatch (cytotoxic and flow cytometric) and continued
88 uld allow a more "immunologic" evaluation of crossmatch data, facilitate the use of virtual crossmatc
89 in, we describe a unique donor-specific flow crossmatch (DSA-FXM) that distinguishes HLA class I or I
90 tive analysis performed using a dedicated EC crossmatch (ECXM) assay that we developed for the experi
91 AECA was evaluated using an endothelial cell crossmatch (ECXM) in patients whose HLA antibody level w
94 e concordance between SAB and flow cytometry crossmatch (FCXM) results, thus enabling improved organ
96 who were DSA-SPA-positive and flow cytometry crossmatch (FCXM)-positive had a higher incidence of bot
98 he implication of a positive flow cytometric crossmatch (FCXM+) in liver transplantation remains cont
101 HLA antibody, donor-specific flow cytometry crossmatching (FCXM), T-cell subset, and suppressor cell
102 CDC-XM) and donor cell-based flow cytometric crossmatch (flow-XM) but low level DSA (i.e., by Luminex
103 nt dependent cytotoxicity (CDC) and 200 flow crossmatches (FLXM) were performed using sera from these
107 cytomegalovirus) and immunologic variables (crossmatch, frequent early acute rejection) did not corr
109 autoreactive and alloreactive flow cytometry crossmatches (FXM) using traditional FXM and our DSA-FXM
112 nally, a positive B-cell IgG flow cytometric crossmatch had no influence on long-term regraft outcome
113 clinical significance of the flow cytometry crossmatch has been addressed in several retrospective s
115 and time required to perform HLA typing and crossmatching, however, have led us to re-examine the Un
116 om 129 patients transplanted with a positive crossmatch human leukocyte antigen-incompatible kidney b
117 e absence of autoantibodies, an incompatible crossmatch in a sensitized patient is attributed to mism
118 donor-specific antibodies (DSA) and positive crossmatch in cardiac transplant recipients is associate
120 eads should be useful in predicting negative crossmatch in highly sensitized organ recipients and hig
121 procurement (ROP) trays can predict negative crossmatch in highly sensitized patients when the HLA ma
123 ody specificity, was compared to prospective crossmatching in sensitized lung transplant candidates.
125 toimmune hemolytic anemia and transfusion of crossmatch-incompatible RBCs, mechanistic understanding
127 ctive tests for intravascular hemolysis with crossmatch-incompatible sera indicated complement-mediat
128 nto patients with anti-donor RBC antibodies (crossmatch-incompatible transfusion) can result in letha
129 tation in the face of a positive lymphocytic crossmatch, increased incidence of acute cellular reject
131 sitized patients without a prospective final crossmatch is appealing and, if bona fide, clearly makes
132 antigens (RMM) in the setting of a negative crossmatch is associated with increased immunological ri
138 , complement-dependent cytotoxicity-negative crossmatch kidney transplantation in Paris (2000-2010).
140 hort-term outcomes are possible in "positive crossmatch kidney transplants (+XMKTx)", but long-term o
143 However, the need to perform a prospective crossmatch limits the donor pool and is associated with
150 ty-eight of 29 patients were rendered T-cell crossmatch negative and B-cell crossmatch negative/low p
152 ive baseline AHG-CDC crossmatch were AHG-CDC crossmatch negative at the time of transplant (after des
155 xception, their sera (n= 156) tested IgG-AHG crossmatch-negative against potential cadaveric donors (
156 may improve the probability of identifying a crossmatch-negative compatible donor and increase access
157 analyzed in this group and compared with 100 crossmatch-negative patients matched for age, sex, race,
158 t-dependent cytotoxicity anti-human globulin crossmatch-negative patients, including group 1: 58 prim
159 ransplants and PRA more than 20% who were FC crossmatch-negative, and group 3: 20 retransplants and P
161 eports the impact of positive flow cytometry crossmatch on clinical outcomes after intestinal/MV tran
162 etermined the impact of a positive cytotoxic crossmatch on the outcome of liver transplantation.
165 t, which we defined as those with a positive crossmatch or preformed DSAbs detected by single-antigen
167 sitized patients without a prospective final crossmatch, our data demonstrate that a large number of
171 ls indicate that desensitization of positive crossmatch patients is a reasonable alternative for a se
173 e pancreas graft and the type of prospective crossmatch performed: (1) imported VXM-only, n = 39; (2)
175 as positive, but only in one patient was the crossmatch positive for antibodies formed while on VAD.
176 kidney transplant waiting list, we selected crossmatch positive living donor HLAi kidney transplant
177 candidates for kidney transplantation, with crossmatch positive potential living donors, were treate
178 n were at an increased risk of a potentially crossmatch positive response (odds ratio=9.6, 95% confid
180 tion, defined based on positive cytotoxicity crossmatches, positive flow cytometry crossmatches, and/
181 treatment in B-cell CDC, and T- or B-cell FC crossmatch-positive kidney transplant recipients (seven
182 recipients were blood group-incompatible or crossmatch-positive or had C4d-positive biopsy samples.
184 t of HLA antibody-negative, endothelial cell crossmatch-positive sera obtained from 12 cardiac allogr
187 than 40% of patients with a positive virtual crossmatch presented with BK infection/CMV disease, high
192 006 to 2008, after initiation of the virtual crossmatch protocol, we performed 122 deceased donor kid
194 stical factors relating to donor, transport, crossmatching, recipient, and theater that impact signif
195 y sensitized (positive DSA and negative flow crossmatch) recipients who received deceased donor renal
200 f DSA-SPA, despite a negative flow cytometry crossmatch result, nearly doubles the risk for antibody-
202 solid phase immunoassays and flow cytometry crossmatches resulted in a higher prediction rates of po
204 odies and donor IgG-antihuman globulin (AHG) crossmatch results of 1165 sera from 220 potential allog
207 hodologies enable the prediction of negative crossmatch results with up to 100% accuracy, enabling th
214 ng-term (7 year) graft survival rate of flow crossmatch-selected regraft recipients (68%; n= 106) was
217 ocyte globulin-rituximab induction, positive crossmatch status is not associated with worse outcomes
222 nce calls regarding transfer of information, crossmatches, surgery date, coordination of simultaneous
223 selected for transplantation by only the AHG crossmatch technique (45%; n=174; log-rank=0.001; censor
231 plants performed across a positive cytotoxic crossmatch tend to follow a different clinical course, w
235 ecificity to allow consideration of "virtual crossmatch" testing as a surrogate for conventional cros
236 CAs and HLA-antibodies using flow cytometric crossmatch tests and solid-phase bead immunoassays.
240 y provided much less positive flow cytometry crossmatches than anti-native HLA antibodies (16% vs. 83
241 center chooses to forego a prospective final crossmatch, the decision to do so should be based on met
242 e of the high likelihood of a positive final crossmatch, these patients are often excluded from a pro
243 rs was similar in those undergoing a virtual crossmatch, those undergoing prospective crossmatching,
245 he seven patients converted a donor-specific crossmatch to negative and underwent a successful living
247 fic antibodies generally undergo prospective crossmatching to exclude donors with unacceptable HLA an
249 pite desensitization, a majority of positive crossmatch transplant recipients demonstrate low levels
255 ligibility and likely resulted from frequent crossmatching using a cytotoxic strength threshold, impr
256 We describe the application of a virtual crossmatch (VXM) that has resulted in a very low rate of
259 absence of donor-specific antibody, negative crossmatch, warm ischemia time less than 60 min, absence
260 nosuppression in group 3, if lymphocyte/flow crossmatch was negative; and if donor-specific antibodie
265 and 1997, in whom a negative flow T-cell IgG crossmatch was required for transplantation, was compare
266 12 patients with a positive baseline AHG-CDC crossmatch were AHG-CDC crossmatch negative at the time
267 ria used by each center to define a positive crossmatch were responsible for some discordant results.
270 d among patients whose final flow cytometric crossmatches were negative compared to patients with pos
272 d by conventional or solid phase assays, and crossmatches were performed by cytotoxicity or flow cyto
275 onor (because of ABO blood group or positive crossmatch) were submitted for computer analysis and mat
276 a complement-dependent cytotoxicity-negative crossmatch, who received a posttransplant desensitizatio
277 ed concerning the significance of a positive crossmatch with "remote" sera (obtained months or years
279 t to complement-dependent cytotoxicity (CDC) crossmatch with CDC crossmatch alone, and determined the
280 patients) are more likely to have a positive crossmatch with possible donors and have a lower likelih
285 transport time (P = 0.0002), use of virtual crossmatch (XM) (P < 0.0001), and use of donor blood for
288 ositive complement-dependent cytotoxic (CDC) crossmatch (XM) pretransplant plasmapheresis, nine had p
293 ositive complement-dependent cytotoxic (CDC) crossmatch (XM), 44 had negative CDC XM and positive flo
294 ossmatch data, facilitate the use of virtual crossmatch (XM), and lead to more transplantability of t
298 ragraft gene expression profiles of positive crossmatch (+XM) kidney transplant recipients who develo
300 e positive complement-dependent cytotoxicity crossmatches (XMs; >200,000 standard fluorescence intens