Living donor liver paired exchange: A North American first.
Madhukar S PatelZubaida MohamedAnand GhanekarGonzalo SapisochinIan McGilvrayBlayne Amir SayedTrevor W ReichmanMarkus SelznerJed A GrossZita GalvinMamatha BhatLes LillyMark CattralGonzalo SapisochinPublished in: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons (2020)
Paired organ exchange can be used to circumvent living donor-recipient ABO incompatibilities. Herein, we present the first case of successful liver paired exchange in North America. This 2-way swap required 4 simultaneous operations: 2 living donor hepatectomies and 2 living donor liver transplants. A nondirected anonymous living donor gift initiated this domino exchange, alleviating an ABO incompatibility in the other donor-recipient pair. With careful attention to ethical and logistical issues, paired liver exchange is a feasible option to expand the donor pool for incompatible living liver donor-recipient pairs.
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