Examinations for living-donor kidney transplants
If you have a relative who is willing to donate a kidney for you, both of you will be evaluated in detail by a Nephrologist and a transplant surgeon..
One of the most important basic principles in living-donor organ transplantation is that damage to the kidney donor who is healthy and voluntarily makes a sacrifice in order to save the life of his/her relative is avoided.
After the physical examination, if the health condition of the kidney donor is evaluated as good, blood tests (Hemogram, biochemical and serological analysis) will be performed first. If a health problem is not detected in these tests, the morphology and the vascularisation of the kidneys are evaluated in detail through three-dimensional abdominal computed tomography. If necessary, the living-donor is also evaluated by a cardiologist, a chest specialist and a psychiatrist.
At the end of these tests and evaluations,if no problem likely to affect the health is found, the living-donor kidney transplantation will be performed.
Blood compatibility in living- donor kidney transplantation:
ABO blood compatibility chart
Blood Type of the Recipient Blood Types of the Kidney Donors
AB O - A - B - AB
A O - A
B O - B
O O - A2*
Rh + or - does not interfere with kidney transplantation.
*The blood type O can receive kidney from the second subgroup of blood type A
Kidney transplantation without a blood group compatibility is also an option in appropriate patients.
When the transplant is performed without blood group compatibility, immunologic risks increase which is possibly increase the early rejection of the transplanted kidney by the body.
Today, however, kidney transplantation can also be performed without blood group compatibility through new medication that significantly inhibit the treatment and immune system called apheresis (cleaning of blood plasma), where the antigens against the blood group are eliminated by connecting them to an instrument such as receiving dialysis therapy.
Long-term outcomes in kidney transplants without blood group compatibility are similar to those in kidney transplants with blood group compatibility. Patients with low Anti-A and Anti-B titers can be successfully transplanted if the blood type is not compatible. In our center, the level of these antibodies is measured.