Sometimes, a person may agree to donate a kidney to a recipient, but his or her blood or tissue type does not match their recipient. Ohio State’s Comprehensive Transplant Center can help match such a donor/recipient pair with another donor/recipient pair through a process called Kidney Paired Donation (KPD).
For example, if the recipient from one pair is a match with the donor from another pair and vice versa, our Transplant Center can arrange the exchange through two simultaneous transplants. This allows the two recipients to receive organs from two people who were willing to donate, even though the original pairings were incompatible or mismatched.
Both donor and recipient candidates are carefully evaluated and tested medically and psychosocially to ensure that the benefits outweigh the risks. It is important for both surgeries to be scheduled for the same time, in case either donor changes their mind at the time of surgery. Though the surgeries take place at the same time, they can occur at different hospitals and even in different time zones.
Paired donation can also involve multiple donors and recipients. In September 2011, Ohio State achieved national recognition with a six-way paired kidney transplant, coordinating the in-house transplantation of six kidneys in a domino-effect surgical process.
Ohio State has an internal paired donation program in addition to working with national donor exchange registries to share information among hospitals to find matches for pairs of donors and recipients who are not matches. These types of paired exchanges will hopefully have a positive impact on the waiting list for kidney transplants.
Your doctor will help you decide if a paired kidney donation is a good solution for your donation.
In a paired kidney exchange, an incompatible donor/recipient pair is matched with another incompatible donor/recipient pair for a swap. Each donor gives a kidney to the other person's intended recipient.