A Concise Review of Hepatitis C in Heart and Lung Transplantation

Hepatitis C (HCV) infection is prevalent in recipients of, and candidates for, solid organ transplants. The outcomes of HCV infection in cardiac and lung transplant recipients have yet to be clearly established, and future prospective studies are needed. In the absence of safe and effective antivira...

Full description

Saved in:
Bibliographic Details
Main Authors: Edward Kim, Hin Hin Ko, Eric M Yoshida
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2011/947838
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849305630573068288
author Edward Kim
Hin Hin Ko
Eric M Yoshida
author_facet Edward Kim
Hin Hin Ko
Eric M Yoshida
author_sort Edward Kim
collection DOAJ
description Hepatitis C (HCV) infection is prevalent in recipients of, and candidates for, solid organ transplants. The outcomes of HCV infection in cardiac and lung transplant recipients have yet to be clearly established, and future prospective studies are needed. In the absence of safe and effective antiviral treatment for HCV infection in heart and lung transplant recipients, the management of these patients remains a challenge and must be considered on an individual basis. Interferon therapy for HCV before transplantation appears to improve outcomes; however, post-transplant interferon therapy in the cardiac and pulmonary transplant setting may be associated with an increased risk of graft rejection. Given the paucity of information regarding HCV treatment in these transplant recipients, and with appropriate concerns that graft loss from rejection may not be amenable to a second transplant (given the scarcity of suitable cadaveric organs), multicentre, randomized controlled trials are needed to determine the optimal approach for treatment of HCV infection in this population.
format Article
id doaj-art-06a97d1967984b89b29d8a8d90a3feb2
institution Kabale University
issn 0835-7900
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-06a97d1967984b89b29d8a8d90a3feb22025-08-20T03:55:23ZengWileyCanadian Journal of Gastroenterology0835-79002011-01-0125844544810.1155/2011/947838A Concise Review of Hepatitis C in Heart and Lung TransplantationEdward Kim0Hin Hin Ko1Eric M Yoshida2Gastroenterology Fellowship Program, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Gastroenterology, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Gastroenterology, University of British Columbia, Vancouver, British Columbia, CanadaHepatitis C (HCV) infection is prevalent in recipients of, and candidates for, solid organ transplants. The outcomes of HCV infection in cardiac and lung transplant recipients have yet to be clearly established, and future prospective studies are needed. In the absence of safe and effective antiviral treatment for HCV infection in heart and lung transplant recipients, the management of these patients remains a challenge and must be considered on an individual basis. Interferon therapy for HCV before transplantation appears to improve outcomes; however, post-transplant interferon therapy in the cardiac and pulmonary transplant setting may be associated with an increased risk of graft rejection. Given the paucity of information regarding HCV treatment in these transplant recipients, and with appropriate concerns that graft loss from rejection may not be amenable to a second transplant (given the scarcity of suitable cadaveric organs), multicentre, randomized controlled trials are needed to determine the optimal approach for treatment of HCV infection in this population.http://dx.doi.org/10.1155/2011/947838
spellingShingle Edward Kim
Hin Hin Ko
Eric M Yoshida
A Concise Review of Hepatitis C in Heart and Lung Transplantation
Canadian Journal of Gastroenterology
title A Concise Review of Hepatitis C in Heart and Lung Transplantation
title_full A Concise Review of Hepatitis C in Heart and Lung Transplantation
title_fullStr A Concise Review of Hepatitis C in Heart and Lung Transplantation
title_full_unstemmed A Concise Review of Hepatitis C in Heart and Lung Transplantation
title_short A Concise Review of Hepatitis C in Heart and Lung Transplantation
title_sort concise review of hepatitis c in heart and lung transplantation
url http://dx.doi.org/10.1155/2011/947838
work_keys_str_mv AT edwardkim aconcisereviewofhepatitiscinheartandlungtransplantation
AT hinhinko aconcisereviewofhepatitiscinheartandlungtransplantation
AT ericmyoshida aconcisereviewofhepatitiscinheartandlungtransplantation
AT edwardkim concisereviewofhepatitiscinheartandlungtransplantation
AT hinhinko concisereviewofhepatitiscinheartandlungtransplantation
AT ericmyoshida concisereviewofhepatitiscinheartandlungtransplantation