Low‐Dose Valganciclovir for Primary Cytomegalovirus Prophylaxis After Heart Transplant: A 10‐Year Experience

This is the largest report of LD VGCV use in HTR. Despite reduced VGCV exposure, HTR remain at high risk for cytopenias. Regardless of potential risk factors, including a high prevalence of overweight BMI and adequate renal function, LD VGCV was associated with expected rates of BT CMV and CMV resistance, suggesting LD VGCV could be considered in HTR. Identification of CMV end-organ disease and GCV resistance suggests that LD VGCV could be considered cautiously in CMV D+/R- HTR.

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Publication Details

Journal
Clinical Transplantation
Published
2025-12-01
DOI
https://doi.org/10.1111/ctr.70408
Primary Topic
Cytomegalovirus and herpesvirus research
Type
article
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article

Low‐Dose Valganciclovir for Primary Cytomegalovirus Prophylaxis After Heart Transplant: A 10‐Year Experience

Kennedy Concannon, Emily Sartain, Rebecca Swayngim, Robert L Page nd et al.
Clinical Transplantation
Cytomegalovirus and herpesvirus research
article

Low‐Dose Valganciclovir for Primary Cytomegalovirus Prophylaxis After Heart Transplant: A 10‐Year Experience

Kennedy Concannon, Emily Sartain, Rebecca Swayngim, Robert L Page nd, Amrut V. Ambardekar, Chia‐Yu Chiu, Kelly E. Schoeppler
article en

Abstract

This is the largest report of LD VGCV use in HTR. Despite reduced VGCV exposure, HTR remain at high risk for cytopenias. Regardless of potential risk factors, including a high prevalence of overweight BMI and adequate renal function, LD VGCV was associated with expected rates of BT CMV and CMV resistance, suggesting LD VGCV could be considered in HTR. Identification of CMV end-organ disease and GCV resistance suggests that LD VGCV could be considered cautiously in CMV D+/R- HTR.

Clinical TransplantationVol. 39(12)
University of Colorado Hospital (US), University of Colorado Anschutz Medical Campus (US), University of Montana (US), University of Colorado Denver (US)
Openalex Percentile: Top 49%
Cytomegalovirus and herpesvirus research
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