Author: Ho, Quan Yao; Chung, Shimin J.; Gan, Valerie H. L.; Ng, Lay Guat; Tan, Ban Hock; Kee, Terence Y. S.
Title: Highâ€immunological risk living donor renal transplant during the COVIDâ€19 outbreak: Uncertainties and ethical dilemmas Cord-id: y34k7zsq Document date: 2020_5_8
ID: y34k7zsq
Snippet: We describe the challenges of performing a high-immunological risk living donor renal transplant during the COVID-19 outbreak. A 42-year-old lady with end-stage renal disease from lupus nephritis had failed peritoneal dialysis due to pleuro-peritoneal leak, failed vascular access creation due to early thrombosis and had recurrent dialysis catheter malfunction. The transplant from her husband was ABO-incompatible and had positive B cell flow crossmatch with multiple donor-specific antibodies. Nei
Document: We describe the challenges of performing a high-immunological risk living donor renal transplant during the COVID-19 outbreak. A 42-year-old lady with end-stage renal disease from lupus nephritis had failed peritoneal dialysis due to pleuro-peritoneal leak, failed vascular access creation due to early thrombosis and had recurrent dialysis catheter malfunction. The transplant from her husband was ABO-incompatible and had positive B cell flow crossmatch with multiple donor-specific antibodies. Neither alternative donors nor paired exchange candidates were available. Priority access to deceased donors is limited and unpredictable.
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