Expanding criteria for the use of living donors: What are the limits?

Expanding criteria for the use of living donors: What are the limits?

Autor Garcia, V. D. Google Scholar
Garcia, C. D. Google Scholar
Keitel, E. Google Scholar
Santos, A. F. Google Scholar
Bianco, P. D. Google Scholar
Bittar, A. E. Google Scholar
Neumann, J. Google Scholar
Campos, H. H. Google Scholar
Pestana, JOM Google Scholar
Abbud-Filho, M. Google Scholar
Instituição Ceara Fed Univ
Universidade Federal de São Paulo (UNIFESP)
Urol & Nephrol Inst
Resumo The cadaver organ shortage has pushed the transplant community to extend the boundaries beyond the traditional criteria used for living donor transplantation. This new liberal policy involves: (1) the type of donor, such as emotionally related individuals, the direct or indirect interchange of donors, anonymous as well as rewarded donation; (2) challenging immunological criteria, using incompatible ABO blood types and or transplantation across a positive cross-match; (3) relaxing clinical criteria related to elderly, hypertensive, or obese donors, or patients with nephrolithiasis, fibromuscular renal artery disease, hematuria, or renal cell carcinomas. However, these practices may be dangerous. They must be clearly validated to promote a liberal policy of donor acceptance since it may carry a risk for both the donor and the recipient as well as for society. It is crucial to ensure the physical integrity of the donor as well as to provide guarantees, for instance a 1-year policy of life insurance, an indefinite long-term medical follow-up and the assurance of going to the top of the waiting list if the donor becomes uremic in the future.
Idioma Inglês
Data 2004-05-01
Publicado em Transplantation Proceedings. New York: Elsevier B.V., v. 36, n. 4, p. 808-810, 2004.
ISSN 0041-1345 (Sherpa/Romeo, fator de impacto)
Editor Elsevier B.V.
Extensão 808-810
Fonte http://dx.doi.org/10.1016/j.transproceed.2004.03.063
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000222063800003
URI http://repositorio.unifesp.br/handle/11600/27746

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