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IN ORDER TO MAXIMISE THE POTENTIAL OF FINDING A SUITABLE MATCH WE
                        PARTICIPATE IN A PAIRED KIDNEY EXCHANGE SYSTEM WITH THE UK. THE
                        POTENTIAL DONOR AND RECIPIENT MAY THEREFORE BE REFERRED TO A
                        HOSPITAL IN THE UK OR BELFAST TO ENTERED INTO THE PAIRED KIDNEY
                        ARRANGEMENT.


        If the recipient is highly
        sensitised (PGEN>70%)                Donor                                            Donor
        and they have an ABO
        incompatible donor but            Mr. Jones                                        Mr. Smith
        well HLA-matched donor,          (Blood Type A)                                   (Blood Type B)
        it might be possible to
        enter into a programme
        to remove the recipient’s
        ABO antibodies and                Recipient                                        Recipient
        proceed ahead with the            Ms. Jones                                        Ms. Smith
        kidney transplant.
                                         (Blood Type B)                                   (Blood Type A)
           Some patients with
        high antibody levels may
        have to wait a long time
        to obtain a suitable match. Effective technology does not currently exist to remove high levels of
        antibodies to allow successful long-term outcomes.



                        MORE INFORMATION ABOUT PAIRED KIDNEY EXCHANGE



        Paired kidney exchange allows the recipient to get    that a difficulty will arise to stop the transplant
        the best possible outcome from a donated kidney       going ahead.
        by finding a kidney that he does not have                If a suitable match is found both donor and
        antibodies to. In this process the transplant         recipient will need to go to either the Belfast or UK
        nephrologist will refer the donor and recipients file  hospital. Both donor operations will go ahead at the
        to a hospital in England or Belfast. Both donor and   same time to minimise the possibility of either
        recipient will then be invited to be reviewed by the  donor pulling out.
        UK transplant team.                                      Once the donor and recipient have recovered
           The details of the donor and recipient are         from the surgery they will return to Ireland for
        uploaded onto a UK computer system. Four times a      follow-up.
        year the computer checks to find suitable matches.       It should be noted that there are financial and
        If a match is found you will be notified. It is       practical issues to consider for patients who travel
        important to realise that not everyone will find a    to England. In particular the donor and recipient will
        match and it may take a number of years before a      have to spend a period of time in the UK as an
        suitable match is found.                              outpatient and they will have to organise their own
           Once a potential match is found both donor and     accommodation. The Social Worker is available to
        recipient will likely need some additional testing to  discuss any issues or concerns you may have and
        confirm suitability. It is also possible at this stage  to provide you with support.



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