ArticleJHLT open2025
Management of acute cellular rejection after pediatric heart transplantation.
Article in JHLT open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Three and a Half Decades of Pediatric Heart Transplantation: Evolution of Surgical Practice and Outcomes at a High-Volume Centre.Journal of cardiovascular development and disease · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute cellular rejection (ACR) remains a leading cause of allograft injury after pediatric heart transplantation and contributes to chronic graft dysfunction, cardiac allograft vasculopathy, antibody mediated rejection, and mortality post-transplant. Understanding the risks for developing ACR, with a focus on immunosuppression adherence, and applying appropriate screening methods is important to limit the impact of this complication. While endomyocardial biopsy remains the gold standard for diagnosis and classification of ACR, additional non-invasive screening methods can be used to stratify rejection risk and limit biopsies. These screening methods include the use of gene expression profiling, donor-derived cell-free DNA, echocardiography, and cardiac magnetic resonance imaging. Management of ACR depends on the severity of allograft injury; In cases of severe rejection, treatment includes corticosteroids, anti-thymocyte globulin, and hemodynamic support. This review highlights the impact of ACR on transplant outcomes and risk factors for ACR with a particular emphasis on screening, diagnosis, and management. Ultimately, continued improvement in prevention, earlier detection, and prompt treatment of ACR are important to enhance outcomes for pediatric heart transplant recipients.
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Registered trials
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