Candidates with chronic hepatitis B or C or persistently abnormal liver function testing must have hepatology consultation prior to consideration. Cardiac disease . All patients over the age of 55 or those with a history of diabetes, hypertension, or tobacco abuse must have dobutamine stress echocardiography, or exercise or pharmacologic stress cardiac scintigraphy. Any patient with a history of a positive stress test or history of congestive heart failure must have cardiology evaluation prior to consideration. Structural genitourinary abnormality or recurrent urinary tract infection .
Urologic consultation is required prior to consideration.
Past psychosocial abnormality . Aortoiliac disease . Patients with abnormal femoral pulses or disabling claudication, rest pain or gangrene will require evaluation by a board certified vascular surgeon prior to consideration. Patients with significant aortoiliac occlusive disease may require angioplasty or aortoiliac grafting prior to transplantation.