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Do you continue calcineurin inhibitor-based immunosuppression after a failed kidney transplant that remains in situ, to reduce HLA sensitization and preserve retransplantation options?

1 Answer
Mednet Member
Mednet MemberInvited Expert
Nephrology · University of Alabama Birmingham
Answered on

Yes, I do. Mostly if patients continue to have some residual function and have a living donor. I would target lower levels ~2-4.

This is a nice review of failed allograft management by Agrawal & Pavlakis, PMID 31135561.

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