Patients must present evidence of involvement in 12 months of drug free rehabilitation. This includes written documentation of participation in rehabilitation including negative random toxicologic screens. Chronic liver disease . Candidates with chronic hepatitis B or C or persistently abnormal liver function testing must have hepatology consultation prior to consideration. Structural genitourinary abnormality or recurrent urinary tract infection.
Urologic consultation is required prior to consideration.
Past psychosocial abnormality. 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. Patients with significant aortoiliac occlusive disease may require angioplasty or aortoiliac grafting prior to transplantation.