Living related donor nephrectomy in transfusion refusing donors

Rod Mateo*, Randy Henderson, Nicolas Jabbour, Singh Gagandeep, Anne Goldsberry, Linda Sher, Yasir Qazi, Robert R. Selby, Yuri Genyk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Many transplant programs are averse to evaluate potential kidney donors with preferences against accepting human blood products. We examined the donor and graft outcomes between our transfusion-consenting (TC) and transfusion-refusing (TR) live kidney donors to determine whether a functional or survival disadvantage resulted from the disallowance of blood product transfusion during live donor (LD) nephrectomy. From July, 1999 to August, 2005, 82 live donor nephrectomies were performed, eight of who were TR donors (10%). Blood conservation techniques were utilized in TR donors. Demographics, surgical and functional outcomes, admission and discharge hematocrit, and creatinine were compared between TC and TR donors. No donor mortalities occurred. Two TC donors received blood transfusions (2.7%), and each study group experienced a single, <1-year graft loss. Intra-operative blood losses were significantly less in TR donors (298 ± 412 vs. 121 ± 91 ml, P < 0.03). No differences were noted between donor demographics, intra-operative events, and graft and patient survival. Successful donor nephrectomy from TR patients has the potential to expand the kidney allograft pool to include the TR donor population. Precautionary blood conservation methods allow the informed and consenting TR individual to donate a kidney with acceptable risk and without compromise to donor or graft outcomes.

Original languageEnglish
Pages (from-to)490-496
Number of pages7
JournalTransplant International
Issue number6
StatePublished - Jun 2007
Externally publishedYes


  • Donor nephrectomy
  • Renal transplantation
  • Transfusion-free medicine


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