End Stage Renal Failure [eGFR < 15%] – means kidneys don’t work-requiring renal replacement therapy in the form of Dialysis or Renal Transplantation.
End Stage Renal Failure – Is not fatal. Good quality treatments are available in the form of dialysis or renal transplantation.
Renal transplant – best option for an individual
![Renal Transplantation in Chennai](https://www.kauveryhospital.com/images/newsletters/2018_inside/renal.jpg)
![Where to get kidney for transplant?](https://www.kauveryhospital.com/images/newsletters/2018_inside/renal-1.jpg)
- Any blood related donor is acceptable for transplantation provided relationship is established by genetic methods.
- Same blood group renal transplantation means receiving kidney from either same blood group or from O positive blood group
- Deceased donor-those who are brain dead in the intensive care unit following a road traffic accident or stroke
- Statistics suggests that about 150000 people in India are waiting for renal transplantation
- Only 1 out of 30 people who need a kidney receives one
- 90% of the patients in the waiting list die without getting the kidney
- Availability of kidneys for transplantation from deceased donor (Cadaver’s) – always a shortage due to denial of familial consent, demand supply mismatch, lack of awareness in various sub urban hospitals, economic constraints for transplantation
- Interesting to note that countries like Spain have made organ donation compulsory after death!!
Newer Milestone in Transplantation
ABO Incompatible renal transplantation
- Don’t need same blood groups for transplant-Across the blood group-Cross the barrier.
- Patient needs to remove antibodies in them before they acquire the kidney from donor.
- Excellent outcomes as same blood group transplantation with no major adverse effects.
Paired Kidney Exchange Program
![Dr. B.Balaji Kirushnan](https://www.kauveryhospital.com/images/newsletters/2018_inside/Dr.%20B.Balaji%20Kirushnan.jpg)
Article by Dr. B.Balaji Kirushnan,
MBBS, MD (General Medicine), PGDHSC Diabetology, DNB (Nephrology)
Associate Consultant Nephrology,
Kauvery Hospital