THE PROBLEM OF HEART TRANSPLANT REJECTION AND WAYS OF OPTIMIZING THE ASSESSMENT OF ENDOMYOCARDIAL BIOPSY RESULTS
T V Stavenchuk , E D Kosmachova , I A Shelestova , A A Slavinsky , E A Terman , A A Verevkin , L A Medvedeva , K O Barbuhatty , Z G Tatarintseva , V A Porchanov
Journal of Clinical Practice ›› 2017, Vol. 8 ›› Issue (3) : 28 -33.
THE PROBLEM OF HEART TRANSPLANT REJECTION AND WAYS OF OPTIMIZING THE ASSESSMENT OF ENDOMYOCARDIAL BIOPSY RESULTS
The following article describes tactics of recipient management when a rejection episode of a heart transplant is being suspected. We have discovered some new figures to assess biopsy samples through computerised morphometric study, which can both improve and clarify biopsy results. CD3+ (T-cells) and CD 68+ (macrophages) figures make it possible to determine the extent of transplant rejection in accordance with the International Society for Heart and Lung Transplantation diagnostic criteria (sensitivity 91%, specificity 91%).
computerised morphometric study / endomyocardial biopsy / heart transplant rejection
Stavenchuk T.V., Kosmachova E.D., Shelestova I.A., Slavinsky A.A., Terman E.A., Verevkin A.A., Medvedeva L.A., Barbuhatty K.O., Tatarintseva Z.G., Porchanov V.A.
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