ABSTRACT
While kidney paired donation (KPD) enables the utilization of living donor kidneys from healthy and willing donors incompatible with their intended recipients, the strategy poses complex challenges that have limited its adoption in United States and Canada. A consensus conference was convened March 29-30, 2012 to address the dynamic challenges and complexities of KPD that inhibit optimal implementation. Stakeholders considered donor evaluation and care, histocompatibility testing, allocation algorithms, financing, geographic challenges and implementation strategies with the goal to safely maximize KPD at every transplant center. Best practices, knowledge gaps and research goals were identified and summarized in this document.
Subject(s)
Donor Selection/methods , Kidney Transplantation/methods , Living Donors , Renal Insufficiency/therapy , Algorithms , Canada , Histocompatibility Testing , Humans , United StatesABSTRACT
In order to increase the supply of transplantable organs, an increasing number of organ procurement organizations are adopting policies regarding donations from non-heart-beating donors. Few centers, however, actually recover and transplant these organs. This article reviews a case in which kidneys and livers imported from out of state were successfully recovered from a non-heart-beating donor and transplanted. In addition, the article demonstrates how cooperation and flexibility in transplant personnel can increase the number of organs transplanted from a non-heart-beating donor.
