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A domino kidney paired exchange starts with a non-directed or altruistic donor. Instead of just one person benefiting from their donation, this donor can allow many incompatible pairs to be transplanted. The difference in the example shown below from the "Kidney Paired Exchange" is that Donor #2 is not compatible with either recipient #1 or #2. As such, the altruistic donor allows the other pairs to be exchanged, and have the domino effect.

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11y ago

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