Power of One!

Living kidney Exchange

When the Living Donor Paired Exchange (LDPE) Registry was first launched, it was quickly realized that domino exchanges create significant transplant possibilities.

When a non-directed donor – a person who is not paired with a recipient, but wishes to donate a kidney to anyone in need – enters the Registry, they have half the conditions required for finding a match.

In other words, because the transplant of their kidney is not conditional on a friend or family member receiving a transplant in return, they have a greater possibility of being involved in an exchange – a domino exchange.

Non-directed donors greatly increase the number of available matches. This selfless act of giving by non-directed donors has meant that…

…as of March 2, 2012, 82 of the 126 transplants completed have been through domino exchanges.

And, since they enter as a single rather than a pair, it means that at the end of the domino exchange, one patient on the deceased donor waiting list from the same transplant program also gets a kidney.

Domino Exchange

Domino exchanges begin with a non-directed donor who donates to the recipient of an incompatible pair. There can be multiple incompatible pairs in a domino exchange as you can see below with pairs A, B and C.Domino Exchange

The exchange is complete when the donor of the last incompatible registered pair donates to a recipient on the transplant waitlist whom is from the same transplant program as the non-directed donor.

Domino Exchange - Begins with a non-directed donor and ends with a recipient on the deceased donor waiting list.

 
 
 
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