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Year : 2020  |  Volume : 14  |  Issue : 4  |  Page : 338-342

Case report of swap kidney transplantation in Chhattisgarh – Challenges and solution

1 Department of Nephrology, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India
2 Department of Urology, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India
3 Department of Nephrology and Transplantation, IKDRC, Dr. H L Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India
4 Department of Urology, Lotus Hospital and Advance Urology Center, Raipur, Chhattisgarh, India
5 Department of Urology, DKS Super Speciality Hospital, Raipur, Chhattisgarh, India
6 Department of Anesthesia, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India

Correspondence Address:
Dr. Prawash Kumar Chowdhary
Department of Nephrology, Ramkrishna Care Hospital, Raipur - 492 001, Chhattisgarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijot.ijot_74_20

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Kidney Transplantation is the best as well as the most cost-effective mode of renal replacement therapy for end end-stage renal disease patients with better survival and quality of life compared to dialysis. In the absence of a deceased donor programme in Chhattisgarh, Kidney paired donation (KPD) may provide an important strategy for easing the crisis in organ availability. In KPD, the incompatibility problems with two donor– recipient pairs can be solved by exchanging donors. We report our first successful KPD transplantation done by our institute in Chhattisgarh. Out of two, one had acute graft dysfunction which gets recovered after stopping tacrolimus and converting to sirolimus. Both the donors had a smooth hospital course and were discharged on the 5th postoperative day. They are in follow- up with us with good graft function (serum creatinine 1.2 mg/dl and 0.8 mg/dl). In the era of organ shortage, KPD provides hope to the growing number of patients suffering from end-stage renal disease in Chhattisgarh which will promote renal transplantation in our state.

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