DONOR SELECTION & KIDNEY PRESERVATION -
A kidney donor should be free of hypertension, diabetes & melignancy.
Cardaveric kidney is obtained from brain death person. Kidney are removed as early as possible, flushed with special cooling solutions such as mannitol & stored in iced solution. Preserved kidney usually fucntion normaly if transplanted within 48 hrs.
RECIPIENT DONOR MATCHING -
Tested for 3 factors.
(i) Blood group (ii) Human leucocyte antigen (HLA) (iii) Antibodies
On surface of leucocyte 6 antigen present (3 from father & 3 from mother).
Maximum matching is recommended.
Small samples of blood of recipient & donor are mixed. If no reaction, then pateint will be able to accept kidney.