New Zealand's first two-pair kidney transplant chain

Kidney transplantation is the treatment of choice for end-stage renal disease, providing better quality and quantity of life compared with dialysis. Living donor transplantation is being increasingly utilised to match the demand, however it is limited by HLA antigens or ABO blood group incompatibility between the donor and recipient. Organising a kidney transplant chain can overcome such incompatibilities through recipients 'exchanging' incompatible for compatible donors. We have reported New Zealand's first two-pair kidney transplant chain, outlining the reasons for this new technique, its benefits and some of its limitations.