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SKMC performs first positive cross match-desensitisation living donor kidney transplantation
posted on 11/03/2010
 The first successful positive cross match (PXM)-desensitisation living donor kidney transplantation was performed lately at Sheikh Khalifa Medical city (SKMC), managed by Cleveland Clinic, a SEHA health system facility. Since the Multi-organ Transplantation program at SKMC commenced in February 2008, 21 kidney transplants have been performed.
The 50 year old patient, Abdul Ameer (Quality Surveyor), suffered from kidney failure for the last three years and had been on hemodialysis since then at SKMC in Abu Dhabi. He has lived in Abu Dhabi for the past 15 years. He has struggled with being on hemodialysis as there was no transplant program at the time his kidneys failed. His 36 year old wife stepped in and offered her kidney. She said, "He is my life partner, and I want to spend more time with him. I didn't think twice and offered him my kidney." They then visited their home country, India, to get the kidney transplant done. However, when they did the matching tests, they found out that the husband had antibodies against his wife which meant that if his wife's kidney had been transplanted, it would have been rejected right away. Thus, he was told that the operation could not be done in India and then he came back to Abu Dhabi.
Months later, while he was on dialysis at SKMC, he was informed about the opening of the multi-organ transplantation program at SKMC and that he could be a good candidate for a kidney transplant. The required tests were done in June 2009 by a multidisciplinary team who also confirmed that he had antibodies against his wife but informed him that his wife was still an appropriate donor. However, at SKMC, the transplant team had instituted specific and complex procedures that could remove the antibodies from the patient's blood.
Dr. Abrar Khan, Senior Consultant and Director, Transplantation and Hepatobiliary Surgery, stated that "We arranged a series of tests for them to make sure both were fit for transplantation and donation. The transplantation team at SKMC worked very hard with both to make sure that their journey was as smooth as possible. The removal of antibodies went smoothly and the transplant went well. We were delighted with the outcome of the surgery." "We are proud that SKMC is now capable of performing such state-of-the-art surgery. The techniques used in preparing the patient and his wife for surgery are cutting edge in the field of organ transplantation. Additionally, the wife's kidney was removed using the latest laparoscopic techniques", Dr. Khan added.
Dr. Khan further said "The patient is very happy with his new kidney and is totally functional at this time." After the transplant was done and Mr. Abdul Ameer went home, he was able to function completely normally.
He visits the multi-organ transplantation clinic regularly for his monthly follow-up visits. He said, "We are very pleased with the service we were offered; and the professionalism and dedication of the transplant team at SKMC. I would like to thank first the leader of the UAE, H.H. Sheikh Khalifa Bin Zayed Al Nahyan, President of the UAE, H.H. Sheikh Mohamad Bin Zayed Al Nahyan, Crown Prince of Abu Dhabi and Deputy Supreme Commander of the UAE Armed Forces, for their leadership and generosity and the government of the UAE for the latest developments that we are all witnessing especially in the healthcare sector in Abu Dhabi. I would also like to thank the management of Abu Dhabi Health Services Company - SEHA and SKMC who made medical services more accessible to all the residents in Abu Dhabi."
Dr. Tej Maini, CEO of SKMC, commented that, "We are very proud that SKMC was the first to introduce transplant surgeries by a permanent multi-organ transplantation team in the UAE and proud to perform the first positive cross match-desensitisation kidney transplant. It illustrates our commitment to deliver state-of-the-art medical and surgical practices. Including this surgery, the multi-organ transplantation team has performed 21 kidney transplant surgeries using minimally invasive approaches (laparoscopic techniques) which has well positioned us as an institution that allows its surgeons to advance the standard of care for their patients. " - Emirates News Agency, WAM
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