Transplant Question 7

A patient is brought in for a deceased-donor kidney transplant. Her PRA is Class I 45% and class II 60% by flow cytometry. Both her T and B cell crossmatch by the CDC technique are negative.

Should she receive this transplant? What is the difference between PRA and a crossmatch? What if you receive a report from the lab that while the crossmatch is negative, “DSA is present?”

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