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Donating Another Person’s Kidney

Avoiding the Discard of Organs by Retransplantation

Veale, Jeffrey L., MD1; Lum, Erik L., MD2; Cowan, Nicholas G., MD1; Wong, Melissa, MD3; Skovira, Kelly A., MPH4; Armijo, Mauri J., BS4; Danovitch, Gabriel M., MD2; Mone, Thomas D., MS4

doi: 10.1097/TP.0000000000002308
Original Clinical Science—General

Background Procurement and retransplantation of a previously transplanted kidney reclaim a functioning organ that would otherwise have been discarded.

Methods Case series of 3 retransplantation cases within the course of 1 calendar year.

Results These cases illustrate how to overcome the immunological, logistical, and technical barriers that have thus far limited the potential of this approach. Within this series, we report kidney reuse weeks and years after the original transplantation, as well as the previously undescribed “living donation of a deceased donor kidney”.

Conclusions Retransplantation of previously transplanted kidneys can be performed successfully and should be considered in the face of the current organ shortage.

Retransplantation of previously transplanted kidneys can be performed successfully, overcoming the immunological, logistical, and technical barriers, and should be considered in the face of the current organ shortage.

1Division of Renal Transplantation, Department of Urology, UCLA, Los Angeles, CA.

2Division of Nephrology, Department of Medicine, UCLA, Los Angeles, CA.

3Division of Transplant Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

4OneLegacy, Los Angeles, CA.

Received 25 April 2018.

Accepted 10 May 2018.

The authors declare no funding or conflicts of interest.

J.V. participated in the writing of the article and figures. E.L.L. participated in the writing of the article. N.G.C. participated in the writing of the article and figures. M.W. participated in the writing of the article. K.S. participated in the writing of the article. M.A. participated in the writing of the article. G.D. participated in the writing of the article. T.M. participated in the writing of the article.

Correspondence: Jeffrey L. Veale, MD, Department of Urology, Division of Renal Transplantation, UCLA Health, 200 Medical Plaza, Suite 140, Los Angeles, CA 90095.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.