A husband and wife took part in "paired donation."

Kristen Macurdy was 17 years old when she underwent her first kidney transplant. It was a successful surgery and her new kidney lasted nearly 19 years, but in August 2016, Kristen found out her kidney function was once again declining.

Because she had already received a kidney transplant and was familiar with the process, she knew that a living donor transplant was possible. Her husband, Luke, immediately volunteered to get tested.

Living-donor kidney transplant reduces the shortage of organs because a transplant surgeon takes a healthy kidney from a living person, rather than a deceased donor, and transplants it into the person with the failing kidney. Living-donor kidney transplant is the best option for those with end-stage renal disease because it allows them to shorten their wait on the list and receive a transplant before their disease progresses further.

Eager to save his wife’s life, Luke underwent an extensive evaluation process and awaited the results, hoping he could help his wife. When he got the call that he was not a match, he was devastated.

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Luckily, dialysis wasn’t the only option left. Experts at the UPMC Kidney Transplant Program, suggested they be part of the UPMC Living Donor Exchange Program.

Also known as a paired donation, a donor swap involves two pairs of donors and transplant candidates that do not have compatible blood types. The candidates trade donors so they can each receive a kidney with a matching blood type.

This option allowed Luke to donate his kidney to someone else on the waiting list so that Kristen could receive a donation from someone else – simultaneously saving Kristen’s life.

Since the kidney exchange process is anonymous, Luke and Kristen did not meet the other living donor pair. However, Kristen, who was part of a Facebook group for kidney and dialysis patients, saw a post from a woman who said her husband was undergoing a kidney transplant in Pittsburgh the same day. They immediately started messaging each other.

Kristen and Luke were able to connect with the people who were helping to save their family prior to the transplant, and then officially met in the operating room before the surgery.

The transplants were a success and today, everyone is doing well.

“It’s so much more rewarding to know that Luke helped save a stranger who’s no longer a stranger,” Kristen says. “It’s amazing.”

Kristen and Luke’s results may not be representative of all similar cases.

Editor's Note: This video was originally published on , and was last reviewed on .

About Transplant Services

For more than four decades, UPMC Transplant Services has been a leader in organ transplantation. Our clinicians have performed more than 20,000 organ transplant procedures, making UPMC one of the foremost organ transplant centers in the world. We are home to some of the world’s foremost transplant experts and take on some of the most challenging cases. Through research, we have developed new therapies that provide our patients better outcomes — so organ recipients can enjoy better health with fewer restrictions. Above all, we are committed to providing compassionate, complete care that can change – and save – our patients’ lives. Visit our website to find a provider near you.