Case report of swap kidney transplantation in Chhattisgarh – Challenges and solution

oleh: Prawash Kumar Chowdhary, Sanjeev Anant Kale, Ajay Parashar, Vivek Kute, Ashish Sharma, Sandeep Agrawal, Sudha Trivedi, Shruti Khatkhedkar

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2020-01-01

Deskripsi

Kidney Transplantation is the best as well as the most cost-effective mode of renal replacement therapy for end end-stage renal disease patients with better survival and quality of life compared to dialysis. In the absence of a deceased donor programme in Chhattisgarh, Kidney paired donation (KPD) may provide an important strategy for easing the crisis in organ availability. In KPD, the incompatibility problems with two donor– recipient pairs can be solved by exchanging donors. We report our first successful KPD transplantation done by our institute in Chhattisgarh. Out of two, one had acute graft dysfunction which gets recovered after stopping tacrolimus and converting to sirolimus. Both the donors had a smooth hospital course and were discharged on the 5th postoperative day. They are in follow- up with us with good graft function (serum creatinine 1.2 mg/dl and 0.8 mg/dl). In the era of organ shortage, KPD provides hope to the growing number of patients suffering from end-stage renal disease in Chhattisgarh which will promote renal transplantation in our state.