Extracorporeal Photopheresis and Heart Transplantation; A Comprehensive Review of Current Evidence

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Main Authors: Mehrbod Vakhshoori, Andreas Zuckermann, Amir Abdipour
Format: Artículo Open Access
Published: Wiley 2025
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author Mehrbod Vakhshoori
Andreas Zuckermann
Amir Abdipour
author_facet Mehrbod Vakhshoori
Andreas Zuckermann
Amir Abdipour
Mehrbod Vakhshoori
Andreas Zuckermann
Amir Abdipour
collection Wiley Open Access
contents Extracorporeal Photopheresis and Heart Transplantation; A Comprehensive Review of Current Evidence Mehrbod Vakhshoori Andreas Zuckermann Amir Abdipour Journal of Clinical Apheresis ABSTRACTDespite significant advancements in heart transplantation (HTx) techniques and the development of immunosuppressive (IS) medications, rejection remains a persistent challenge. Additionally, IS medications are associated with various complications, highlighting the need for alternative therapeutic interventions. Extracorporeal photopheresis (ECP) has emerged as a promising adjunctive therapy. Initially approved for the treatment of cutaneous T‐cell lymphoma, ECP has expanded its applications to include both the prophylaxis and treatment of HTx rejection. However, the available data remain limited, necessitating a comprehensive review to better understand its role. This article aims to evaluate the existing literature on ECP, focusing on its mechanisms and its potential in both the preventive and therapeutic management of HTx rejection. This comprehensive evaluation is intended to guide future research efforts, which could include well‐designed clinical trials and real‐world studies to address the limitations of current data. Ultimately, our goal is to provide a robust framework for integrating ECP into HTx management protocols, ensuring that its potential benefits are fully realized for both prophylactic and therapeutic applications. 10.1002/jca.70039 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/jca.70039
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spellingShingle Extracorporeal Photopheresis and Heart Transplantation; A Comprehensive Review of Current Evidence
Mehrbod Vakhshoori
Andreas Zuckermann
Amir Abdipour
Journal of Clinical Apheresis
Extracorporeal Photopheresis and Heart Transplantation; A Comprehensive Review of Current Evidence Mehrbod Vakhshoori Andreas Zuckermann Amir Abdipour Journal of Clinical Apheresis ABSTRACTDespite significant advancements in heart transplantation (HTx) techniques and the development of immunosuppressive (IS) medications, rejection remains a persistent challenge. Additionally, IS medications are associated with various complications, highlighting the need for alternative therapeutic interventions. Extracorporeal photopheresis (ECP) has emerged as a promising adjunctive therapy. Initially approved for the treatment of cutaneous T‐cell lymphoma, ECP has expanded its applications to include both the prophylaxis and treatment of HTx rejection. However, the available data remain limited, necessitating a comprehensive review to better understand its role. This article aims to evaluate the existing literature on ECP, focusing on its mechanisms and its potential in both the preventive and therapeutic management of HTx rejection. This comprehensive evaluation is intended to guide future research efforts, which could include well‐designed clinical trials and real‐world studies to address the limitations of current data. Ultimately, our goal is to provide a robust framework for integrating ECP into HTx management protocols, ensuring that its potential benefits are fully realized for both prophylactic and therapeutic applications. 10.1002/jca.70039 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Extracorporeal Photopheresis and Heart Transplantation; A Comprehensive Review of Current Evidence
topic Journal of Clinical Apheresis
url https://onlinelibrary.wiley.com/doi/10.1002/jca.70039