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Journal of Transplantation
Volume 2012, Article ID 450471, 6 pages
http://dx.doi.org/10.1155/2012/450471
Review Article

Evaluation of the Medically Complex Living Kidney Donor

Division of Nephrology, Department of Internal Medicine, Istanbul School of Medicine, 34390 Istanbul, Turkey

Received 6 November 2011; Accepted 6 March 2012

Academic Editor: Waldo Concepcion

Copyright © 2012 Yasar Caliskan and Alaattin Yildiz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of “Medically complex living donors” are made to increase the availability of organs for donation. The term “Complex living donor” is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor.