State of Living Kidney Donation in Europe

Uwe Heemann; Lutz Renders

Disclosures

Nephrol Dial Transplant. 2012;27(6):2166-2170. 

In This Article

Current Mode of Donation in Europe: Should We Change?

From a medical perspective, basically no contraindications remain against living donation from an immunological standpoint. A living donation can be achieved, at least in the majority of cases, despite blood group incompatibility or pre-existing antibodies. However, such transplantations are very cost intensive. In these cases, a certain donor pairing is impossible without prior aggressive and expensive pretreatment. Therefore, a number of alternatives came into play such as crossover or domino transplantation.[15]

Under these conditions, a willing donor from another pair with similar problems is used to solve the problem. In case of domino transplantation, Donor A may donate to Recipient B, Donor B donates to Recipient C and Donor C may donate to Recipient A. Such a domino transplantation is even able to adjust for age, kidney quality and matching. Thus, it could be wise to apply such a system in the greater context of Europe whereby the donor travels to the recipient centre even across country borders.

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