특집/공여자 교환을 통한 신장이식 프로그램의 현황과 발전방향 = Exchange Living-donor Kidney Transplantation: The Present and Future

다국어 초록 (Multilingual Abstract)

The shortage of donor organs is one of the major barriers of transplantation worldwide. After

the success of the direct exchange donor (swap) program in Korea since 1991, a swaparound

program has been developed. Recently, a web-based (computerized) algorithm to facilitate

donor kidney exchange was devised and tested in multi-center settings. An excellent longterm

outcome was achieved by using the donor exchange program as an option to reduce the

donor organ shortage. Herein, we discussed on the current status of the exchange donor renal

transplantation in Korea, a couple of problems we have had, and future directions we have to

head and make better to improve organ donation activities.

참고문헌 (Reference)

1 Rapaport FT, "The case for a living emotionally related international kidney donor exchange registry" 18 : 5-9, 1986

2 Montgomery RA, "Plasmapheresis and intravenous immune globulin provides effective rescue therapy for refractory humoral rejection and allows kidneys to be successfully transplanted into cross-match-positive recipients" 70 : 887-895, 2000

3 Kim BS, "Outcome of multipair donor kidney exchange by a web-based algorithm" 18 : 1000-1006, 2007

4 "Korean Network for Organ Sharing (KONOS) web data. 2006 Annual Report"

5 Saidman SL, "Increasing the opportunity of live kidney donation by matching for two - and three-way exchanges" 81 : 773-782, 2006

6 Kim SI, "Experience with cyclosporine in adult living donor kidney transplantation: from 1984 to 2002 at Yonsei University" 36 : 186S-192S, 2004

7 Kwak JY, "Exchange-donor program in renal transplantation: a singlecenter experience" 31 : 344-345, 1999

8 Huh KH, "Exchange living - donor kidney transplantation: Merits and limitations" 86-, 2008

9 Park K, "Exchange donor program in kidney transplantation" 67 : 336-338, 1999

10 Tanabe K, "Excellent outcome of ABO-incompatible living kidney transplantation under pretransplantation immunosuppression with tacrolimus, mycophenolate mofetil, and steroid" 36 : 2175-2177, 2004

11 Ross LF, "Ethics of a paired-kidney-exchange program" 336 : 1752-1755, 1997

12 Glotz D, "Desensitization and subsequent kidney transplantation of patients using intravenous immunoglobulins (IVIg)" 2 : 758-760, 2002

13 Gloor JM, "ABO-incompatible kidney transplantation using both A2 and non- A2 living donors" 75 : 971-977, 2003

14 de Klerk M, "A highly efficient living donor kidney exchange program for both blood type and crossmatch incompatible donor-recipient combinations" 82 : 1616-1620, 2006

15 Schweitzer EJ, "A high panel-reactive antibody rescue protocol for cross-match-positive live donor kidney transplants" 70 : 1531-1536, 2000

16 Kaplan I, "A computer match program for paired and unconventional kidney exchanges" 5 : 2306-2308, 2005