Complications of allogeneic hematopoietic stem cell transplantation

Cancer Invest. 2014 Aug;32(7):349-62. doi: 10.3109/07357907.2014.919301. Epub 2014 Jun 5.

Abstract

Infection, graft-versus-host disease (GVHD), and to a lesser extent sinusoidal obstructive syndrome (SOS) represent the major causes of morbidity and mortality in patients undergoing allogeneic hematopoietic stem cell transplantation (AHSCT). During the last decade, progress in prevention and treatment of these complications led to improvement in the outcome of these patients. Despite the fact that nonmyeloablative regimens have been increasingly used in elderly patients and in patients with co-morbidities, the nonrelapse related mortality remains a challenge and long-term follow-up is required. The objective of this manuscript is to provide an updated concise review of the complications of AHSCT and of the available treatment interventions.

Keywords: Bone marrow transplant; Leukemias; Long-term survival and late effects.

Publication types

  • Review

MeSH terms

  • Bacterial Infections / etiology
  • Bacterial Infections / prevention & control
  • Graft Rejection / drug therapy
  • Graft Rejection / prevention & control
  • Graft Rejection / radiotherapy
  • Graft vs Host Disease / prevention & control
  • Hematologic Diseases / therapy*
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Hepatic Veno-Occlusive Disease / etiology
  • Hepatic Veno-Occlusive Disease / prevention & control
  • Humans
  • Mycoses / etiology
  • Mycoses / prevention & control
  • Transplantation Conditioning / adverse effects
  • Transplantation, Homologous / adverse effects
  • Treatment Outcome
  • Virus Diseases / etiology
  • Virus Diseases / prevention & control
  • Whole-Body Irradiation