Wednesday, November 21, 2018

Kidney exchange in Turkey, some recent reports

Here are an academic paper on the kidney exchange program at Baskent University, and a news story about a kidney exchange in Turkey between two Ukranian patient-donor pairs:

Our Experience with Paired Kidney Exchange Transplantation
Haberal, Mehmet; Akdur, Aydincan; Karakayali, Feza Yarbug; Ozcelik, Umit; Moray, Gokhan; Kulah, Eyyup; Inal, Ali; Torgay, Adnan; Arslan, Gulnaz
Transplantation: July 2018 - Volume 102 - Issue - p S499

"Seven pairs were matched from July 2015 to September 2017 and we performed 14 PKE (5 women, 9 men) transplants. Mean recipient age was 49.8±11.5 (range: 23-61) and mean donor age was 50.4± 12.4 (range: 38-64) years. Five of the donors were fathers, one of them was a mother, 3 were husbands and 5 were wives. Mean mismatch ratio was 5±1 (range: 3-6). Reason for exchange was ABO incompatibility for 10 patients and positive crossmatch and presence of donor specific antibodies for 4 patients. All were 2-way donations. Median waiting time for getting suitable donor after registration was 3 months. Two of the recipients were retransplanted and desensitization with plasmapheresis was needed for panel reactive antibody positivity. One patient underwent preemptive kidney transplant.
"ABO incompatibility continues to pose a serious problem for transplantation candidates, especially in kidney and liver transplants. Our small series shows that PKE transplantation is an alternative for patients without a viable living-related donor or deceased compatible donor organ."

Kidney swap in Turkey offers new life to 2 Ukrainians
Coming from Ukraine, Valeriy Horobets, Viacheslav Shcherbyna undergo paired kidney exchange surgery in Istanbul, October 16, 2018

At Medicana International Istanbul Hospital ,
"Two Ukrainian citizens welcomed their new lives in Turkey after a cross-kidney transplant surgery in Istanbul."

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