Kidney Allocation Scenario: – 20 y.o. female, type I diabetic, anoxic head injury – Normal...

• Kidney Allocation Scenario: – 20 y.o. female, type I diabetic, anoxic

head injury–Normal kidney lab values, KDPI 25%– Kidney Allocation for Donors with KDPI

21-34%• Sequence #1-3: national 100% CPRA,

National• Sequence #4 : 98% CPRA, Local• Sequence 5-142: Local

Allocation Scenario

• Offers to Sequence # 1-3– Sequence #1: Provisional yes• Preliminary Blood sent for crossmatch

– Sequence #2: Decline– Sequence #3: Provisional yes• Preliminary Blood sent for crossmatch

Allocation Plan

• Sequence #1: Decline while in the OR for donor quality

• Sequence #3: Decline while organ being boarded on plane for positive crossmatch

• Sequence #4: Placement of left kidney

• Reallocation of right kidney: – Sequence #13

Final Allocation

• How has the new KAS impacted your program?

• Have you experienced greater need to request or send blood for preliminary crossmatch. – If so, what are the impacts on your

program and what is involved in your decision making process?

Questions