Kidney Transplant - Pediatric

The Pediatric Kidney Transplant Program at Mount Sinai is the most active in the Northeast and among the premier programs in the country. In the three years ended in 2007 we performed 60 transplants in children, and an additional 5 combined liver-kidney transplants. According to UNOS, the United Network for Organ Sharing, this represents the 6th largest kidney and single largest combined liver-kidney pediatric transplant experience in the United States during that period.

Our transplant program is a collaboration between the renal transplant surgeons and our active pediatric nephrology program. Our board certified pediatric nephrologists provide expert care for infants and children with kidney disease both before and after transplantation. Our complete transplant program is well-versed in all forms of supportive kidney treatments including dialysis (both peritoneal and hemodialysis), ICU care, and features a board-certified pediatric urologist, dedicated nutritionists, social work, and child-life services.

Program Highlights

• Experienced Living Donor Program
• Laparoscopic living donor surgery
• Comprehensive evaluation of donors by an experienced adult nephrologist
• Available paired exchange or donor-chain exchange programs
• Immunological desensitization protocols for highly sensitized recipients
• Rapid steroid taper protocols for at-risk recipients
• Full pre-surgical evaluation to assess for risk of kidney thrombosis
• Combined liver-kidney transplantation
• Transplantation for HIV positive patients
• Pediatric dialysis service with extensive experience including small infants
• Specialty laboratory support including detection of donor-specific antibodies and same-day kidney biopsy interpretation and measurement of medication levels
• We are happy to provide our services to patients from centers without transplantation teams, facilitating return to those centers with our long-term support
• Evaluation of complex, uncommon, or unique cases

All types of kidney diseases including:

• Congenital/structural kidney disease
• Vesicoureteral reflux
• Glomerulonephritis
• FSGS (Glomerulosclerosis)
• Cystic and Polycystic Kidney Disease
• Oxalosis
• Hemolytic Uremic Syndrome (including atypical)
• Genetic kidney diseases