Achievements and challenges in composite tissue allotransplantation

Stefan Schneeberger, Luis Landin, Jerzy Jableki, Peter Butler, Christoph Hoehnke, Gerald Brandacher, Emmanuel Morelon

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations

Abstract

Overall, more than 60 hand/forearm/arm transplantations and 16 face transplantations have been performed in the past 12 years. In the European experience summarized here, three grafts have been lost in response to a vascular thrombosis (n = 1), rejection and incompliance with immunosuppression (n = 1) and death (n = 1). The overall functional and esthetic outcome is very satisfactory, but serious side effects and complications related to immunosuppression are challenges hindering progress in this field. The high levels of immunosuppression, skin rejection, nerve regeneration, donor legislation and the acceptance level need to be addressed to promote growth of this promising new field in transplantation and reconstructive surgery.

Original languageEnglish (US)
Pages (from-to)760-769
Number of pages10
JournalTransplant International
Volume24
Issue number8
DOIs
StatePublished - Aug 2011

Keywords

  • composite tissue transplantation
  • face transplantation
  • hand transplantation
  • indications
  • outcome
  • rejection

ASJC Scopus subject areas

  • Transplantation

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