Approach to the highly sensitized kidney transplant candidate

DS Keith, GM Vranic - Clinical Journal of the American Society of …, 2016 - journals.lww.com
For patients with ESRD, kidney transplant offers significant survival and quality-of-life
advantages compared with dialysis. But for patients seeking transplant who are highly
sensitized, wait times have traditionally been long and options limited. The approach to the
highly sensitized candidate for kidney transplant has changed substantially over time owing
to new advances in desensitization, options for paired donor exchange (PDE), and changes
to the deceased-donor allocation system. Initial evaluation should focus on determining …