Kidney Transplantation in Cirrhotic Patients

Chapter

Abstract

Cirrhotic patients with concurrent end-stage renal disease pose a unique challenge in their management. In many cases, a combined liver and kidney transplantation is performed but there is a significant amount of cases where cirrhosis is well compensated and the patient does not have a straightforward indication for liver transplantation. Kidney transplantation alone could take these patients off dialysis; however, there is the danger of liver decompensation and subsequent mortality, as in any other major surgery performed in cirrhotics. Many centers deny kidney transplantation in cirrhotics, but there are data to support that if planed carefully with appropriate selection of donors and recipients, kidney transplantation alone in certain cirrhotic patients is indicated and appropriate.

Keywords

Kidney transplantation Cirrhosis Portal hypertension 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Antonios Arvelakis
    • 1
  • Sander Florman
    • 1
  • Ron Shapiro
    • 1
  1. 1.Recanati/Miller Transplantation Institute, The Mount Sinai HospitalNew YorkUSA

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