Objectives:

1. To discuss triage strategies for liver transplant candidates with renal dysfunction requiring simultaneous liver kidney transplantation, versus liver transplant alone (based on clinical indication and UNOS policy compliance)
2. To review international similarities and differences in combined organ allocation policies
3. To learn how to optimize clinical management- monitoring and therapeutic strategies in patients with pre-existent renal dysfunction, and how to reduce the incidence of renal dysfunction after liver transplantation

Annmarie Huysman Liapakis Biography:

Dr. AnnMarie Liapakis is an Assistant Professor of Medicine and Surgery and practicing gastroenterologist with the Division of Digestive Disease, Department of Internal Medicine at Yale University and provides transplant hepatology care within the Yale New Haven Transplantation Center. She is a leader in the living donor liver transplant program and has created a subspecialty clinic for care of patients with combined kidney and liver disease within the transplantation center. She additionally has sub-specialty interest in viral hepatitis C and direct acting antiviral therapy in the context of transplantation. She currently serves as co-chairperson for Donate Life Connecticut and is the vice chairperson of education of the medical advisory committee of the CT chapter of the American Liver Foundation.

Clifford D. Miles Biography:

Dr. Miles is an associate professor of Internal Medicine at the University of Nebraska Medical Center, in Omaha, Nebraska. He joined the faculty there as a transplant nephrologist in 2007, and is now the Medical Director of kidney & pancreas transplantation for UNMC’s partner hospital Nebraska Medicine. Dr. Miles received his medical degree from the University of Nebraska, and then completed his residency in internal medicine at Dartmouth Hitchcock Medical Center in Lebanon, N.H. His training finished with fellowships in nephrology and transplant nephrology at the University of Michigan Medical Center, Ann Arbor. In June 2007, Dr. Miles also received a Master's of Science degree in clinical research and design and statistical analysis from the University of Michigan Medical Center's School of Public Health. Dr. Miles has served UNOS as a past regional representative to the Kidney Transplant Committee and current At-Large member of the Membership and Professional Standards Committee. He is also the Chair of the Heartland Kidney Network’s Medical Review Board.