{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:46:42Z","timestamp":1790192802527,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,7]],"date-time":"2013-08-07T00:00:00Z","timestamp":1375833600000},"content-version":"vor","delay-in-days":37,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Thrombotic microangiopathy (<jats:styled-content style=\"fixed-case\">TMA<\/jats:styled-content>) is a severe complication of kidney transplantation. <jats:styled-content style=\"fixed-case\">TMA<\/jats:styled-content> may occur <jats:italic>de novo<\/jats:italic> or as recurrent disease post\u2010transplant. <jats:italic>De novo<\/jats:italic> disease is usually associated with immunosuppressive drugs or can be seen as a part of endothelial damage that accompanies antibody\u2010mediated rejection. Treatment for <jats:italic>de novo <\/jats:italic><jats:styled-content style=\"fixed-case\">TMA<\/jats:styled-content> is limited to plasma exchange and change in immunosuppression. We report two cases of <jats:italic>de novo <\/jats:italic><jats:styled-content style=\"fixed-case\">TMA<\/jats:styled-content> post\u2010transplant that were successfully treated by converting to belatacept for maintenance immunosuppression.<\/jats:p>","DOI":"10.1111\/ctr.12170","type":"journal-article","created":{"date-parts":[[2013,8,7]],"date-time":"2013-08-07T20:17:59Z","timestamp":1375906679000},"page":"591-597","source":"Crossref","is-referenced-by-count":27,"title":["Successful conversion to belatacept after thrombotic microangiopathy in kidney transplant patients"],"prefix":"10.1111","volume":"27","author":[{"given":"Sireesha","family":"Koppula","sequence":"first","affiliation":[{"name":"Department of Nephrology University of Arizona College of Medicine Tucson AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Yost","sequence":"additional","affiliation":[{"name":"Department of Pharmacy University of Arizona Medical Center Tucson AZ 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