Molly
Hennessy-Fiske, a reporter for the LA Times, wrote on October 23, 2009 about 18 patients who were paired by surgeons as part of a rare transplant chain at UCLA. Each link represented a paired donation in
which a donor gives a kidney to a stranger, trusting that another stranger will
donate a kidney to his or her loved one in return.
These chains are
difficult to build, because of the trust that is needed as well as medical
complications. Donors and recipients must have compatible blood types and
antibodies. Surgeons usually perform multiple transplants simultaneously
in adjacent operating rooms so transplanted kidneys stay
healthy and donors do not get sick or back out of the operation and break the
chain.
Network officials are
developing a national registry that they plan to launch next year with five
pilot sites, including UCLA. That could lead to an additional 1,000 to 2,000
kidney transplants annually, according to Dr. Bryan Becker, president of the New
York-based National Kidney Foundation.
For now, donor pairs rely on
smaller networks, including the National Kidney Registry in Babylon, N.Y., which started keeping a list of paired donors two years ago. UCLA surgeons used the
registry to build the latest donor chain, their fifth and one of about a dozen
the registry coordinated nationally this year, a spokesman said.
Hospitals generally do not allow members of a transplant
chain to meet before their operations in case a donor backs
out, however, UCLA surgeons allowed the first few pairs of the latest chain to
meet at the hospital the day after the first batch of surgeries.
All are doing well and met for the first time at the hospital on Friday.