Clinical approach to antibody-mediated rejection from the pediatric heart transplant society

Shahnawaz Amdani*, Heather Henderson, Melanie D. Everitt, Gary Beasley, Renata Shih, Vernat Exil, Juan Alejos, Gonzalo Wallis, Estela Azeka, Deipanjan Nandi, Elizabeth Profita, Joseph Spinner, Defne Magnetta, Hugo Martinez, Matthew Fenton, Jennifer Conway, Simon Urschel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objective: This document is designed to outline the definition, pathogenesis, diagnostic modalities and therapeutic measures to treat antibody-mediated rejection in children postheart transplant. Methods: Literature review was conducted by a Pediatric Heart Transplant Society (PHTS) working group to identify existing pediatric and adult studies on antibody-mediated rejection (AMR). In addition, the centers participating in PHTS were asked to submit their approach to diagnosis and management of pediatric AMR. This document synthesizes information gathered from both these sources to highlight a practical approach to diagnosing and managing a child with AMR postheart transplant. This document may not represent the practice at all centers in the PHTS and serves as a starting point to understand an approach to this clinical scenario.

Original languageEnglish (US)
Article numbere14398
JournalPediatric transplantation
Issue number8
StatePublished - Dec 2022
Externally publishedYes


  • AMR
  • heart transplant
  • pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation


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