Open AccessSimultaneous Liver Kidney Transplantation: A Medical Decision Analysis
Author(s) -
Bryce A. Kiberd,
Chris Skedgel,
Ian Alwayn,
Kevork Peltekian
Publication year - 2011
Publication title -
transplantation
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/tp.0b013e3181fcc943
Subject(s) - dialysis , medicine , kidney , liver disease , liver transplantation , kidney transplantation , intensive care medicine , kidney disease , renal function , hepatorenal syndrome , transplantation , hemodialysis , renal replacement therapy , surgery , cirrhosis
The use of simultaneous liver kidney transplantation has increased dramatically. When the liver and kidney are available from the same deceased donor, what is the best decision? There are two allocation options. In the combined allocation, both organs are allocated to a liver failure (end-stage liver disease [ESLD]) patient on dialysis leaving an end-stage renal disease (ESRD) patient on dialysis. In split allocation, the liver is allocated to the liver failure patient on dialysis and the kidney to the patient with ESRD.