Evaluation of the Medically Complex Living Kidney Donor

Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadave...

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Main Authors: Yasar Caliskan, Alaattin Yildiz
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2012/450471
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author Yasar Caliskan
Alaattin Yildiz
author_facet Yasar Caliskan
Alaattin Yildiz
author_sort Yasar Caliskan
collection DOAJ
description Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of “Medically complex living donors” are made to increase the availability of organs for donation. The term “Complex living donor” is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor.
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spelling doaj-art-f60c221edd344db38ad525cad5099aed2025-02-03T01:02:01ZengWileyJournal of Transplantation2090-00072090-00152012-01-01201210.1155/2012/450471450471Evaluation of the Medically Complex Living Kidney DonorYasar Caliskan0Alaattin Yildiz1Division of Nephrology, Department of Internal Medicine, Istanbul School of Medicine, 34390 Istanbul, TurkeyDivision of Nephrology, Department of Internal Medicine, Istanbul School of Medicine, 34390 Istanbul, TurkeyDue to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of “Medically complex living donors” are made to increase the availability of organs for donation. The term “Complex living donor” is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor.http://dx.doi.org/10.1155/2012/450471
spellingShingle Yasar Caliskan
Alaattin Yildiz
Evaluation of the Medically Complex Living Kidney Donor
Journal of Transplantation
title Evaluation of the Medically Complex Living Kidney Donor
title_full Evaluation of the Medically Complex Living Kidney Donor
title_fullStr Evaluation of the Medically Complex Living Kidney Donor
title_full_unstemmed Evaluation of the Medically Complex Living Kidney Donor
title_short Evaluation of the Medically Complex Living Kidney Donor
title_sort evaluation of the medically complex living kidney donor
url http://dx.doi.org/10.1155/2012/450471
work_keys_str_mv AT yasarcaliskan evaluationofthemedicallycomplexlivingkidneydonor
AT alaattinyildiz evaluationofthemedicallycomplexlivingkidneydonor