Graphical Abstract
These authors have contributed equally to this workWhether immunoadsorption (IADS) as part of desensitization protocols could facilitate deceased donor kidney transplantation (KT) in highly sensitized (HS) patients remains to be proven. We retrospectively analyzed our IADS based desensitization protocol for deceased donor KTs between 2013 and 2018. Fifteen HS patients (age 52 years [40–56]) were included. Waiting time before IADS was 6 years [5–10] and the interval between IADS initiation and KT was 5 months [1–12] for the 14 transplanted patients. Nine patients had prior KT. Calculated panel reactive antibody decreased significantly during the protocol (99.3% [92.5–99.9] vs. 79.4% [56.7–81.9]; 
