Paramesh Anil S, Hanley Karyn, Slakey Douglas P, Killackey Mary T, Zhang Rubin, Buell Joseph
Tulane Abdominal Transplant Institute, Tulane University School of Medicine, New Orleans, USA.
J La State Med Soc. 2011 Mar-Apr;163(2):102-4.
Although living donation is the preferred method of kidney transplant, many donors are not a match with their intended recipient. One unique way of overcoming this is by performing a donor paired exchange. By swapping donors, transplant centers may be able to bring about multiple transplants that would not have otherwise been possible. This manuscript describes the first three way domino paired donor exchange transplant in Louisiana. Because of a single altruistic donor, we were able to facilitate three recipients getting transplanted. We discuss the formulation of this unique program, the choosing of potential donor/recipient pairs and outcomes. A review of the controversies of paired kidney donation is also presented.
尽管活体捐赠是肾脏移植的首选方式，但许多捐赠者与他们想要捐赠的接受者并不匹配。克服这一问题的一种独特方法是进行捐赠者配对交换。通过交换捐赠者，移植中心或许能够实现多例原本不可能进行的移植手术。本文描述了路易斯安那州首例三链式多米诺配对捐赠者交换移植手术。由于有一位无私的捐赠者，我们得以促成三位接受者接受移植手术。我们讨论了这个独特项目的制定、潜在捐赠者/接受者配对的选择以及结果。此外，还对配对肾脏捐赠的争议进行了综述。
