The Role of ABO-Incompatible Living Donors in Kidney Transplantation: State of the Art

Summary In the past, ABO incompatibility has been considered an absolute contraindication for living donor kidney transplantation. Over the past 25 years, advances in immunosuppressive therapy and progressively more refined desensitization protocols have allowed increasingly successful transplantati...

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Veröffentlicht in:	Seminars in nephrology 2007-07, Vol.27 (4), p.408-413
Hauptverfasser:	Thielke, James, PharmD, Kaplan, Bruce, MD, Benedetti, Enrico, MD, FACS
Format:	Artikel
Sprache:	eng
Schlagworte:	ABO Blood-Group System - immunology ABO incompatibility Graft Rejection - blood Humans hyperacute rejection Kidney Transplantation - immunology living donor kidney transplantation Living Donors Nephrology Prognosis Severity of Illness Index
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Zusammenfassung:	Summary In the past, ABO incompatibility has been considered an absolute contraindication for living donor kidney transplantation. Over the past 25 years, advances in immunosuppressive therapy and progressively more refined desensitization protocols have allowed increasingly successful transplantations across the ABO barrier. Current results of kidney transplants from ABO-incompatible living donors are quite favorable and comparable in the long term with the outcome of ABO-compatible organs both in Japan and in the United States. The present article reviews the history, outcomes, and current issues in kidney transplantation with ABO-incompatible living donors in adult and pediatric recipients.
ISSN:	0270-9295 1558-4488
DOI:	10.1016/j.semnephrol.2007.03.003