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Living Donor Kidney Transplant: Blood Group Incompatibility No Longer a Constraint

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Kidney transplantation is the best option for patients with End Stage Kidney Disease (ESKD). It is associated with lower mortality, the better quality of life, lower costs compared to dialysis, and patient survival of more than 95%.

Living donor transplant is the best option because it can be done before starting dialysis, once Glomerular Filtration Rate (GFR) is less than 10 ml/min or after starting dialysis but with little waiting time.

Blood group compatibility has been a limiting factor for a kidney transplant (Table 1). However, with the possibility of swap transplants and ABO-incompatible transplant, it is possible to overcome the blood group incompatibility between the donor and recipient.

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