Description
Taylor & Francis Living Donor Kidney Transplantation by Jonas Wadstroem , Robert Gastón
Living donor kidney (LDK) transplantation has become the definitive approach to the treatment of end-stage renal failure, providing a better quality of life and the best opportunity for survival when compared with dialysis or transplantation from a deceased donor. A timely compendium of the modern day practice of LDK transplantation from a group of outstanding international experts, this text explores a number of controversial aspects of this innovative new technique. Discussing in detail the current situation, the authors also focus on the responsibility of the medical community to the live kidney donor as a patient, and the potential for complacency regarding donor risk. Emphasizing the ethical principles that must dictate medical practice in LDK transplantation for the foreseeable future - voluntarism, informed consent and medical follow-up - this book comprehensively records the best practices currently available.1 Introduction 2 Historical background 3 Immunological aspects 4 Living donor evaluation 5 Pre-emptive transplantation 6 Marginal donors 7 Surgery of the living donor 8 Donor outcomes: long-term follow-up 9 Psychosocial effects of donation 10 Overcoming immunologic barriers: ABO incompatibility 11 Positive cross-matches 12 Paired exchange 13 List-paired and non-directed donation 14 Legal and ethical dilemmas 15 Financial and insurance issues 16 Arguments for paid living donation 17 Arguments against paid living donation