ABO-incompatible kidney transplantation: impact of apheresis on graft and patient survival in recipients with low isoagglutinin titer.

4.9%), although the difference did not reach statistical significance (p = 0.25).

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In our cohort, patients who did not undergo pre-transplant apheresis had poorer outcomes compared to those who did, with reduced event-free survival and a marked trend toward higher ABMR incidence.

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Regarding infectious risk, we did not observe major differences in the overall incidence of infections between the groups, although there was more fungal or parasitic infections in the no apheresis group and a clear trend toward higher CMV viremia rates in the apheresis group.

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