The history of shipping live donor kidneys taking the leap of faith
This presentation is the property of its rightful owner.
Sponsored Links
1 / 10

The History of Shipping Live Donor Kidneys … Taking the leap of faith PowerPoint PPT Presentation


  • 69 Views
  • Uploaded on
  • Presentation posted in: General

The History of Shipping Live Donor Kidneys … Taking the leap of faith. Jeffrey L. Veale, MD Director, UCLA Kidney Transplant Exchange Program. Shipping Live Donor Kidneys - Now. National Kidney Registry (NKR) has facilitated 941 Exchanges, approx 600 have been shipped. Jason. Jason ’ s

Download Presentation

The History of Shipping Live Donor Kidneys … Taking the leap of faith

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


The history of shipping live donor kidneys taking the leap of faith

The History of Shipping Live Donor Kidneys…Taking the leap of faith

Jeffrey L. Veale, MD

Director, UCLA Kidney Transplant Exchange Program


Shipping live donor kidneys now

Shipping Live Donor Kidneys - Now

National Kidney Registry (NKR) has facilitated

941 Exchanges, approx 600 have been shipped


The history of shipping live donor kidneys taking the leap of faith

Jason

Jason’s

Mom

Tiffany

Tiffany’s

Dad

Donation

Donation

Shipping Live Donor Kidneys - 2007

  • Exchange donors were reluctant to travel to another center:

  • -unfamiliar hospital

  • -unfamiliar city

  • -away from the intended recipient

  • -away from family

David Geffen School of Medicine at UCLA


Shipping live donor kidneys 2007

Shipping Live Donor Kidneys - 2007

Simpkins et al. Reviewed 38,467 living donor transplants

32,719 (85%) had CIT less than 2 hours

393 (1%) had CIT of 6-8 hours

No statistically significant difference in 1-year creatinine

level or the 10-year allograft survival between the groups


Taking the leap of faith

Taking the leap of faith

2007 Montgomery performed first live donor kidney shipped “coast-to-coast”

San Francisco to Baltimore

Private Jet (accompanied by the surgeon)

GPS Tracking Device with the kidney

8 hours of CIT

cost = $27,000

2008 Veale performed second live donor kidney shipped “coast-to-coast”

New York to Los Angeles

Commercial Airline (unaccompanied)

No Tracking Device

14 hours of CIT

cost = $550

*Saved tens of thousands of dollars (compared to private jet or desensitization)


Taking the leap of faith1

Taking the leap of faith


Transporting live donor kidneys ucla

Transporting live donor kidneysUCLA

UCLA unpublished data:

-57 shipped live donor kidneys

-Mean CIT 12.1h

-Longest CIT approx 19h

-70yo shipped kidney donor (13h CIT)

When compared to a non-shipped live donor cohort (matched for gender, age and center): -No significant differences in creatinine at every time interval measured up to 2 years

-70yo shipped kidney, the cr of recipient is 1.4

Segev, Veale et al.

56 live donor kidneys transported between 30 U.S. centers

Mean CIT was 7hrs with no DGF

David Geffen School of Medicine at UCLA


International exchanges

International Exchanges

2011 Sep 1;365(9):868-9

Kidney paired donation –the next step. Connolly JS, Terasaki PI, Veale JL.


Terasaki and collins 44 years ago

Terasaki and Collins 44 years ago

1970 Terasaki reported - Shipped live donor mammalian kidneys

Dog kidneys

LA to London

LA to Sydney

LA to Tel Aviv

A few with nearly

50 hrs of CIT

Functioned

44 yrs ago shipped live donor kidneys “Just Saying”…

“Make the leap of faith”


The history of shipping live donor kidneys taking the leap of faith1

The History of Shipping Live Donor Kidneys…Taking the leap of faith

Jeffrey L. Veale, MD

Director, UCLA Kidney Transplant Exchange Program


  • Login