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ABO Incompatible Kidney Transplant is a kind of transplant taking place between the donor, whose blood type is not compatible with that of the patient, who is in need of the kidney. The only option was to get the transplant pairs of the recipient donor identified with the types of ABO blood that were compatible.
In the current situation, this ABO incompatible kidney transplant is possible to get conducted between certain recipients and living donors. When there is only one available donor there are options available for the patient:
- To get placed for Organ Sharing cadaveric-donor kidney waiting list.
- To enter into a paired donor exchange program
- Let us take a closer look at these options:
- The UNOS Cadaveric-Donor Kidney Waiting List
- Getting the candidate placed on the UNOS cadaveric-donor waiting list seems to be quite simple and straightforward but it is actually quite troublesome for those candidates, with blood group O or B.
- The time for which a candidate needs to wait is on the rise for all blood groups but it is more so for those having O or B. The number of new registrations which gets added to the list is also increasing
- Longer waiting time for kidney transplant means increased exposure to risk of leading to death. The average yearly rate of death for waiting list patients is more than 6%.
Donor kidney exchange
- Second option available is to get into one of the donor exchange programs that have come to light over the last few years.
- When a living pair of donor and recipient is found to be ABO-incompatible, then it is possible to achieve two ABO-compatible transplants by means of a direct exchange with another pair.
- Another type can occur when one pair of donor-recipient is incompatible and the other one is compatible but not identical. Getting these donors swapped result in two ABO-compatible living-donor kidney transplants.
Kidney failure is an acute health problem, which leads to either treatment through transplanting a new healthy kidney. Still less than 10% of those, who suffer from kidney failure, undergo a kidney transplant with the help of a family donor and around 1% of the patients do so with the kidney of a deceased donor. The remaining candidates, who need to undergo treatment for kidney failure, go for dialysis as they cannot find a family donor or any deceased donor.
There are even hurdles faced by kidney failure patients, wherein they are unable to go ahead with the treatment as the blood group of the prospective donor does not match with the patient. This is when Swap Kidney Transplant becomes an ideal for them.
What Is Swap Kidney Transplant?
Swap Kidney Transplant or Kidney Exchange is simply a barter system, where a give and take policy takes place between two pairs of people.
Some important points include:
- Each pair consists of a giver and a taker and both the pairs benefit by receiving an organ that gets matched completely.
- This barter framework gives the opportunity to maximise returns in an exponential manner where there is a large pool and complicated algorithms in order to get the kidneys exchanged, are built into it.
- Swap pair consists of a patient, who is the receiver and a donor, who can be a family member.
- These kinds of pairs are such that organs cannot get exchanged between one another in an ordinary manner, due to incompatibility of blood groups or tissues.
How does the treatment actually takes place?
Swap Kidney Transplant is a process where exchange of organs takes place between two families, who are not able to donate the organ to their own family member as there is a blood group mismatch. Hence, this method involves sharing of organs between pair of donor and recipient who are not related. By doing a swap, where the two patients could not have undergone kidney transplant because of blood group mismatch, they can now easily go ahead with their kidney transplantation. In case you have a concern or query you can always consult an expert & get answers to your questions!