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Abstract Details
The Use of Hepatitis C Virus-Positive Organs in Hepatitis C Virus-Negative Recipients
1Hofstra University at Northwell Health, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: ckuntzen@northwell.edu.
2Hofstra University at Northwell Health, 300 Community Drive, Manhasset, NY 11030, USA.
Abstract
The use of hepatitis C virus (HCV) -positive organs in HCV-negative recipients with posttransplant antiviral treatment has increasingly been studied since the introduction of new direct-acting antivirals. This article reviews existing experience in liver and kidney transplant. Fifteen studies with 218 HCV D+/R- liver transplants, with 182 from viremic donors, show a sustained viral response for 12 weeks (SVR12) rate of 99.5%. Nine studies involving 204 HCV donor-positive recipient-negative kidney transplant recipients had an SVR12 rate of 99.5%. Complications are infrequent. Preemptive treatment in kidney transplant of for only 4 weeks or even 4 days showed surprising success rates.