All patients potentially eligible for liver a transplant are pre-evaluated during an Out-Patient Clinic (OPC) consult and, if eligible, undergo a more in-depth evaluation. They then undergo a detailed diagnostic pathway (clinical, lab, and instrumental tests). The degree and the nature of the liver failure, along with the level of functioning of the other organs, are accurately determined to assess the clinical conditions for possible transplant eligibility.

During this stage, it is established whether the patient meets the criteria for inclusion on the waiting list, according to which the patient must have:

As soon as the pre-transplant evaluation is over, the clinical case is presented to the medical faculty to determine whether the patient can be added to the waiting list, or if refusal of his/her candidacy is justifiable.

Once in the waiting list, all liver transplant candidates are monitored by ISMETT's team by means of periodic OPC check-ups, according to a customized protocol based on each patient's needs.

In the periodic check-ups following the inclusion on the waiting list, the medical team can decide to keep the patient temporarily from the active list because of concomitant episodes (infections), or definitively, should permanent contraindications to the transplant arise.