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Table 1 Recipient selection for LDLT during SARS-CoV-2 pandemic

From: Egyptian protocol for living donor liver transplantation (LDLT) during SARS-CoV-2 pandemic

  High priority risk group* Moderate risk group
Criteria Fulminant liver failure
MELD equal or greater than 20
Child-Pugh class C (score 10).
Previous history of HRS.
Previous history SBP.
Benign (PVT) grade II.
HCC within Milan unfit for bridge (Child-Pugh late B or C).
HCC beyond Milan within UCSF with a good response of downstaging after 3 months.
MELD 15—19
HCC within Milan fit for bridge therapy.
Decision Proceed for transplantation with precautions Complete donor preparation, close follow up on the waiting list
  1. MELD model for end stage liver disease; HRS hepato-renal syndrome; SBP spontaneous bacterial peritonitis; PVT portal vein thrombosis; HCC hepatocellular carcinoma; UCSF University of California San Francisco;*  high priority  for liver transplantation  denotes mortality risk on the waiting list overweighs the risk of SARS-CoV-2 infection