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SWAP Transplant

Understanding

What is SWAP Transplant?

SWAP Liver Transplant is an advanced living donor liver transplantation strategy designed for patients who cannot undergo a direct living donor transplant due to blood group incompatibility or inadequate donor liver volume. In a SWAP transplant, two or more donor-recipient pairs exchange donors, allowing each recipient to receive a compatible and suitable liver graft.

This innovative approach increases transplant opportunities and helps patients receive timely treatment without waiting for a deceased donor organ.

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TRANSPLANT SERVICES

Liver Transplant Surgery
Adult Transplant Surgery Cadaveric Liver Transplant (DDLD) Living Donor Liver Transplant (LDLT) SWAP Transplant ABO Incompatible Transplant Paediatric Liver Transplant
Pre-Transplant Care Evaluation Post-Transplant Care
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Advantages of SWAP Liver Transplant

  • Increases access to transplantation
  • Reduces waiting-list mortality
  • Solves blood group incompatibility issues
  • Provides better graft size matching
  • Offers excellent long-term outcomes
  • Improves transplant success rates
  • Maximizes living donor opportunities
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Types Of

SWAP Liver Transplant

Blood group Swap

What is Blood group Swap ?

A Split Liver Transplant involves dividing a deceased donor liver into two portions. One portion is transplanted into a child while the remaining portion is used for another recipient, usually an adult.This approach helps maximize donor organ utilization while providing life-saving treatment to children awaiting transplantation.

Benefits

  • Increased availability of donor organs
  • Reduced waiting time
  • Excellent long-term outcomes
  • Effective use of deceased donor organs
  • Suitable for infants and young children

Volume Swap

What is Volume Swap ?

A Split Liver Transplant involves dividing a deceased donor liver into two portions. One portion is transplanted into a child while the remaining portion is used for another recipient, usually an adult.This approach helps maximize donor organ utilization while providing life-saving treatment to children awaiting transplantation.

Benefits

  • Increased availability of donor organs
  • Reduced waiting time
  • Excellent long-term outcomes
  • Effective use of deceased donor organs
  • Suitable for infants and young children

How Does SWAP Transplant Work?

  • Step 1: Donor and Recipient Evaluation

    Both donor-recipient pairs undergo detailed medical evaluation

  • Step 2: Compatibility Assessment

    Blood groups, liver volume, anatomy, and overall suitability are assessed.

  • Step 3: Pair Matching

    Compatible donor-recipient combinations are identified between participating pairs.

  • Step 4: Surgical Planning

    A multidisciplinary transplant team plans the procedures to ensure donor safety and successful transplantation.

  • Step 5: Simultaneous Transplant Surgery

    The donor and recipient surgeries are coordinated and performed according to established transplant protocols.

Frequently Asked Questions

Get answers to your questions

Q1: Why is a SWAP Transplant needed?

A SWAP transplant is considered when:

  • The donor’s blood group is incompatible with the recipient.
  • The donor liver volume is not suitable for the recipient.
  • Direct living donor transplantation is not possible.
Q2: Is SWAP Liver Transplant safe?

Yes. SWAP transplantation follows the same safety protocols and surgical standards as conventional living donor liver transplantation, with comprehensive evaluation of all donors and recipients.

Q3: Who can participate in a SWAP Liver Transplant program?

Patients with a willing but incompatible donor due to blood group mismatch or liver volume mismatch may be considered for a SWAP transplant program.

Q4: Can family members still donate through a SWAP program?

Yes. A willing family donor may participate in a SWAP arrangement if direct donation is not possible due to incompatibility.