{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:59:17Z","timestamp":1762955957458,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T00:00:00Z","timestamp":1539907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Desensitization with RTX has been broadly introduced in adult LT across the ABO blood type barrier. For pediatric LT, the prophylactic use of RTX has not been standardized, especially for children under 2\u00a0years of age. A 20\u2010month\u2010old girl with BA underwent living donor LT from her ABO\u2010I mother. On POD 6, she developed combined T cell\u2010mediated and AMRs. Steroid bolus injection was immediately introduced, followed by antibody\u2010depleting therapy with PE and IVIG. Based on a peripheral blood lymphocyte analysis by fluorescence\u2010activated cell sorting, ATG and RTX were introduced for refractory rejection. Although she recovered from the combined rejections, IHBCs were inevitable as a consequence. We recommend extending the desensitization protocol to cover children under 2\u00a0years of age in order to prevent life\u2010threatening complications.<\/jats:p>","DOI":"10.1111\/petr.13308","type":"journal-article","created":{"date-parts":[[2018,10,20]],"date-time":"2018-10-20T02:25:55Z","timestamp":1540002355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["ABO\u2010incompatible liver transplantation for children under 2\u00a0years of age: A case report and a single\u2010center review"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-9380","authenticated-orcid":false,"given":"Soichi","family":"Narumoto","sequence":"first","affiliation":[{"name":"Organ Transplantation Center National Center for Child Health and Development Tokyo 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