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ISMETT is the only transplant center in Sicily authorized to perform liver transplants. ISMETT's medical staff periodically updates the regional waiting list and assesses the need to remove candidates from the list, temporarily or definitively. Whenever a change occurs, the updated waiting list is sent to the Transplant Regional Reference Center of the Region of Sicily where the official lists are kept. Whenever a liver becomes available, either procured in Sicily or offered to the Region of Sicily by the interregional network through the Transplant Organization for Central and Southern Italy, this is allocated in compliance with the established joint regulations *. The basic criteria used to identify the most appropriate recipient: blood type and anthropometric parameters (weight, height, etc.) compatibility
clinical severity and compatibility (using the MELD and UNOS classifying systems
as in U.S. transplant centers)
length of time spent on the waiting list
UNOS 1 candidates are classified as "urgent" as they are affected by liver failure and have a life expectancy, without the liver transplant, equal or inferior to 7 days. For these patients, the Regional Reference Center is entitled the first organ available on a national level. * Liver allocation criteria are housed in detail at the Transplant Regional Reference Center of the Region of Sicily. |
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