Kidney transplantation, forms, recipient and living donor suitability, immunosuppression

• Renal transplantation is commonly performed in the case of end-stage kidney failure.
• It is the most commonly transplanted organ.

Recipient and donor evaluation and suitability

Forms

• Donors can be classified into three types:
  • Alive
  • Donation-after-brain-death (DBD, most cases)
  • Donation-after-cardiac-death (DCD)
• In post-cardiac-death kidneys, we can expect ischemic damage (mostly acute tubular necrosis)

Recipient evaluation

• Absolute contraindications include malignancy, active infection, substance abuse, and short life-expectancy (<2 years).
• The following

Recipient and donor evaluation and suitability

Forms

Recipient evaluation

Donor evaluation

Suitability

Post-transplant immunosuppression and early complications

Immunosuppression

Early complications

Long-term complications

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