1. Selection and Evaluation of the Recipient (Including Retransplantation)
- Pierre-Alain Clavien MD, PhD3,
- James F. Trotter MD4
Published Online: 28 MAR 2012
Copyright © 2012 Blackwell Publishing Ltd
Medical Care of the Liver Transplant Patient, 4th edition
How to Cite
Coilly, A. and Samuel, D. (2012) Selection and Evaluation of the Recipient (Including Retransplantation), in Medical Care of the Liver Transplant Patient, 4th edition (eds P.-A. Clavien and J. F. Trotter), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444398441.ch1
Department of Surgery, Swiss HPB (Hepato-Pancreato-Biliary) and Transplantation Center, University Hospital Zürich Zürich, Switzerland
Baylor University Medical Center, Dallas, TX, USA
- Published Online: 28 MAR 2012
- Published Print: 10 APR 2012
Print ISBN: 9781444335910
Online ISBN: 9781444398441
- liver failure/etiology;
- liver failure/pathology;
- liver failure/surgery;
- liver transplantation;
- patient selection;
- referral and consultation;
- risk factors
Patients should be considered for liver transplantation if they have evidence of life-threatening complications of liver disease including cirrhosis and acute liver failure.
Indications and contraindications perpetually change with regard to an organ shortage and medical improvements.
Priorization for transplantation is now determined by the Model of End-stage Liver Disease, which lists patients with the greatest risk of short-term mortality.
In the liver center, a detailed evaluation of the recipient is performed to ensure that transplantation is indicated and feasible.
Despite a highest morbi-mortality comparing primary liver transplantation, retransplantation is the only therapy suitable for patients with loss of graft function.