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

Egyptian Liver Journal

Table 1 Recipient selection for 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

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