Deceased donor crossmatch (on-call)

Description
Flow cytometry analysing IgG binding to donor T and B lymphocytes from peripheral blood, lymph node or spleen.
Clinical details
In solid organ transplantation the presence of HLA donor specific antibodies is associated with an increased risk of graft loss and graft dysfunction. Flow cytometric (FCXM) crossmatch tests are used to identify HLA donor specific antibodies. A crossmatch test is performed in deceased kidney, kidney pancreas transplantation and pancreatic islet transplantation.
Related condition
Reference range

sensitised: >2.3 - positive unsensitised: >4.0 - positive

Units
RMF
Synonyms
DCD DBD crossmatch urgent donor spleen lymph node PBL
Testing site
Synnovis : Reference Services : Guy's Hospital
Laboratory
Clinical Transplantation
Sample type and volume required
2cm piece of spleen, Lymph nodes or 30ml EDTA blood
Call in advance
On call staff must be contacted by the designated person responsible for transplantation to request this test prior to sending samples. On call staff must be contacted by a person from Richard Bright Ward as soon as the samples arrive
Special sample instructions
Sample must be sent to Richard Bright Ward at Guy's Hospital
Storage and transport
Temperature controlled
Turnaround time
5 hours
Time limit for extra tests
none
Contacts

Clinical Transplantation Department at Guy’s Hospital
Phone: 020 7188 1540
Clinical Transplantation Department
Guy’s Hospital
Borough Wing – 3rd Floor
Great Maze Pond
London SE1 9RT

Last updated:

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