Do you routinely switch an ESKD patient from a NOAC to warfarin to allow for deceased donor kidney transplant listing?
1 Answer
Mednet MemberInvited Expert
Nephrology · University of Michigan Health System
Answered on
We typically ask patients to switch from DOAC to warfarin when we think they are in range of deceased donor offers. We have a median waiting time for B and O candidates around 5.5 years, so we switch at 4 years of waiting/dialysis time. For ABO A candidates, we switch at 2 years. Of course, urgency for transplant, high KDPI listing and enrollment in programs such as A2B affect when we ask patients to switch.
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