Transplantation

About

Our transplantation centre serves north west London and its population of almost two million people. We also provide transplant services for kidney patients from the Lister Hospital in Stevenage, and are happy to receive patients from other parts of the country by personal or medical request. Our transplant team performs approximately 170 kidney transplants a year, of which half are living donor transplants (where a kidney is donated by a living person). We also perform between 15 and 20 pancreas transplants each year. In addition, we provide outpatient transplant services at Hammersmith and St Mary’s hospitals. Through these clinics we provide long-term follow up for approximately 1700 transplant patients.

As a specialist transplant centre, we have championed many medical innovations to prevent rejection and increase survival rates of the transplanted organ. Many of these innovations have now been adopted by the wider medical community. An area we have proved particularly successful in is removing the need for steroids in immunosuppressive drug regimes. We have shown that steroids are not required to achieve low rejection rates and transplant survival. This reduces the heightened health risks of long-term steroid use in transplant patients, including diabetes, osteoporosis, hypertension, hypercholesterolaemia, weight gain and heart disease.

After expert preparation for both the recipient and the donor in our outpatient work up clinics, and careful consideration by surgeons and physicians, we will consider living donation in complicated cases such as when multiple donor vessels (arteries and vein) exist and when the proposed recipient falls outside of conventional obesity limits to kidney transplantation. We have also been at the forefront of antibody and blood group incompatible transplantation for many years, the research and clinical application of which has been led by Professor Taube for several decades. We are happy to consider living donor transplantation across previously forbidden antibody boundaries such as blood group and HLA antibody. These procedures are respectively called ABOi transplantation and HLAi transplantation.

Sub specialties

Conditions and treatments

We provide treatment for a variety of conditions and issues related to transplantation, including: 

  • Renal failure: transplantation plus centrally based follow up
  • Ongoing transplant patients
  • Renal failure secondary to diabetes (simultaneous pancreas-kidney or SPK transplantation)
  • Consequences of immunosuppression
  • Complex transplantation
  • Transplant urology
  • Treatment of acute rejection of organs

Additional information

We run a variety of patient education sessions – please speak to one of the clinical nurse specialists for further information.

Clinical trials and research

Our patients may be invited to take part in a study that contributes to the understanding of transplantation immunobiology, clinical outcomes and how to better facilitate successful and safe transplantation in both the short and long term.

Further online resources


Contact

General Enquiries
020 3313 1000