Thursday, February 15, 2007

Strategies to Expand Living Donor Pool

Due to the lack of living donors here, this is something we need to know :

What are the strategies available to expand Living Donor Pool?

1) Use of genetically unrelated donors such as a spouse, friend or acquaintance (emotionally related donors) or a stranger(altruistic or living nondirected donors [LNDs])

2) Paired-donor kidney exchanges, either direct (living-donor–living-donor) exchanges (kidney-paired donation) or indirect (living-donor–deceased-donor) exchanges (list-paired donation)

3) Integration of paired exchanges with LND donation, as either domino-paired donation (LND donation plus direct exchanges) or chain-paired donation (LND donation plus direct and indirect exchanges)

4) Transplantation across ABO or HLA barriers using desensitization techniques

5) Use of expanded-criteria living donors including hypertensive donors, obese donors and elderly donors

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