Live donation work-up process

  • Contact live donor (LD) transplant co-ordinator
  • Complete health questionnaire
  • Telephone assessment / discussion with LD transplant co-ordinator

If no anticipated problems then:

First visit

  • Assessment with LD transplant co-ordinator
    • Urine tests
    • Blood tests
      • Routine kidney, liver, cholesterol, sugar, blood count tests
      • Blood group
      • Tissue typing and crossmatch
      • Viral screen
    • MRSA tests
  • Radiological (X-ray) investigations
    • Chest X-ray
    • Ultrasound scan
      • simple scan using gel to look at the kidney size and shape
    • DMSA scan
      • simple scan to look at each kidney’s function separately (requires an injection first)
    • CT scan
      • picture of the blood vessels supplying the kidneys
  • Cardiac investigations
    • ECG (heart tracing)
  • Special test of kidney function
      • EDTA GFR: requires an injection followed by blood samples after set time periods
  • Assessment with Consultant Nephrologist

The results will be discussed at a transplant team meeting usually within two weeks of your assessment. If suitable to proceed then further appointments will be organised.

Other visits (some of these may be take place on the same day)

  • Renal patient education team
    • discussion about donation with a senior renal nurse
    • plus repeat urine test
  • Assessment with a transplant surgeon
  • Assessment with an Independent Assessor
    • legal approval for the donation must be given by a designated individual who is completely separate from the transplant process

Final visit (1-2 week before surgery)

  • Blood for final crossmatch
  • Final appointment with renal education staff
  • Visit to the transplant ward

Based on assessment and investigation results it may be necessary to attend for additional tests or investigations at any stage of the process.