Kidneys remove excess fluid and waste from blood. When kidneys lose their filtering ability, dangerous levels of fluid and waste accumulate in body — a condition known as renal failure. To replace the failing kidney, renal replacement therapy in form of hemodialysis, peritoneal dialysis, and renal transplant is available. A kidney transplant is often the best treatment for kidney failure.
A kidney transplant is a surgical procedure to place a functioning kidney from a donor into a person whose kidneys no longer function properly. The kidney may come from a living donor or from a deceased organ donor. Family members or individuals who are unrelated but make a good match may be able to donate one of their kidneys. This type of transplant is called a living transplant. If kidney is harvested from a cadaver or brain dead patient it is called cadaveric donor.
Prospective renal transplant patient is evaluated by the transplant team. The transplant team includes a transplant surgeon, a transplant nephrologist, transplant coordinator, a social worker, and a psychiatrist.
A potential donor must have a compatible blood group and be in good health and preferably in age group 18-60 years. Both donor and recipient undergo various laboratory investigation. Commonly advised investigations are as follows:
- Peritoneal Dialysis
- Kidney Transplant
- Kidney Biopsy
- Geriatric Nephrology
- Complete Kidney Care
Blood tests : CBC, KFT,LFT, HbsAg, Anti HCV, HIV, FBS, PPBS, Lipid profile, IgG and IgM for CMV.
Urine test : Urine R/E, Culture
Radiology tests : CXR, USG Abdomen, Echocardiography, ECG, DTPA scan and CT Angiography of renal vessels(donor)
Immunological test : HLA typing , Cross matching
Others : Urine R/E, Culture
Psychological and social evaluation