How do you approach the decision to perform preimplantation biopsies in brain-dead kidney donors?

Full Disclosure: This is an opinion from a transplant nephrologist who does not take direct organ offers, but someone who bore witness to many offers that did involve a preimplantation biopsy. The use of preimplantation biopsy appears to be most useful in cases where the clinical parameters would su...

This is a really controversial topic and is often driven by the surgeon. Higher KDPI kidneys are more likely to have a biopsy to assess degree of interstitial fibrosis and therefore help guide whether the kidney should be used, discarded, or used with the mate kidney for dual transplantation. In add...