Evaluation Of The Potential Living Donor

The primary goal of the living donor evaluation is to ensure the safety and well-being of the donor (Table E11.1). Suitable living donor candidates include children, parents, and siblings of the patient with renal failure. Zero-haplotype matched donors should not be a contraindication to proceeding with a live donor transplant. Furthermore, persons with close emotional ties to the transplant recipient, including adopted siblings, spouses, and best friends, may be considered. It has been established that transplant outcomes in these aforementioned groups are superior to that occurring with cadaveric donors.14

It is appropriate to discuss the advantages and disadvantages of living kidney donation with potential transplant recipients during their evaluation at a transplant center. However, patients should not be pressured into approaching family members or friends regarding living donation if they are uncomfortable

Table E11.1. Living donor evaluation (adapted from sources refs. 18,19)

Donor and recipient blood and HLA typing

Donor and recipient crossmatch

Donor general history and physical examination

Electrolytes, BUN, creatinine repeated on two occasions

Liver function tests, coagulation profile

0 0

Post a comment