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Living donor liver paired exchange: A North American first
Author(s) -
Patel Madhukar S.,
Mohamed Zubaida,
Ghanekar Anand,
Sapisochin Gonzalo,
McGilvray Ian,
Sayed Blayne A.,
Reichman Trevor,
Selzner Markus,
Gross Jed A.,
Galvin Zita,
Bhat Mamatha,
Lilly Les,
Cattral Mark,
Selzner Nazia
Publication year - 2021
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.16137
Subject(s) - abo incompatibility , medicine , living donor liver transplantation , abo blood group system , swap (finance) , liver transplantation , surgery , transplantation , immunology , finance , economics
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.