Transplant Part 2 Flashcards
1
Q
Why do live donor kidney transplants do better than deceased?
A
Healthier donors Planned surgery Very short cold ischemic time Almost always have immediate graft function Don't have to wait
2
Q
What happens if you do not have a live donor?
A
You must be on dialysis before you are placed on the transplant list
3
Q
Risks of broad public solicitation
A
Lack of privacy
1-sided anonymity
Possibility of misrepresentation by transplant candidate
Possibility of commercial transplantation
4
Q
3 complications of higher risk deceased donors
A
More complex perioperative period
Higher risk of delayed graft function (need for dialysis post op)
Inferior long term allograft survival vs lower risk deceased donors
5
Q
How does age matching work in BC?
A
Young donors (<35) go to young recipients (< 55) Old donors (>60) go to old recipients (>60) Middle aged donors (36-59) go to all ages Pediatric patients get overriding priority
6
Q
Concerns about transplant tourism
A
Source of organs Health of living donors Safety of recipients Public health risks Stifling self-sufficiency in inbound countries Ethical concerns