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Quartal 1999 Kidney
Transplantation for Highly Sensitized Patients: Is there
a Need for a European Solution? The accumulation of highly sensitized
(HS) patients on the waiting list of organ exchange
organisations can be considered today as a fact. To solve
the problem several programs have been established
worldwide. These programs try to help these patients in
receiving an adequate organ in an acceptable waiting
time. Besides the understanding of the reasons of
sensitization and reducing their incidence, a direct help
for these patients is therefore required. In the present
report we advocate not only the establishment of such
programs for providing suitable organs to HS patients on
a national level but showing their limitations we
propagate an inter-european co-operation with the goal to
increase the donor pool for this type of patients. By
establishing a European Highly Sensitized List with
mandatory exchange and neutral balance for the
participating centers it might be possible to help highly
sensitized patients in the near future. Key words: Highly sensitized patients, HIT, acceptable mismatches, AM PD Dr. I. I. N. Doxiadis © 1999 Pabst Science Publishers |