Directed organ donation and deceased donor-initiated kidney chains Ernesto P Molmenti, Christine L Sardo Molmenti, Elliot Grodstein, Horacio Rilo, Lewis W Teperman The Lancet Volume 392, Issue 10154, Pages 1193-1194 (October 2018) DOI: 10.1016/S0140-6736(18)31870-1 Copyright © 2018 Elsevier Ltd Terms and Conditions
Figure Integration of deceased donor-directed donation, donor–recipient incompatibility, and paired exchanges in kidney transplantation. In instances of incompatible deceased donor-directed kidney donations, the kidney is allocated to initiate an exchange. As a result, the previously incompatible designated recipient on the deceased-donor wait list receives a compatible live-donor organ. This process allows for those in the paired exchange to be transplanted, and results in no net loss of organs and likely no blood type O disadvantage. The Lancet 2018 392, 1193-1194DOI: (10.1016/S0140-6736(18)31870-1) Copyright © 2018 Elsevier Ltd Terms and Conditions