The Recanati/Miller Transplantation Institute

Introduction Liver Intestine/Small Bowel Kidney/Pancreas History Faculty Kidney Candidates Pancreas Candidates Referrals What to Expect Living Donors Transplant Liaison Research Protocols Islet Transplantation Publications Organ and Tissue Donation Request Information

Programs

Kidney/Pancreas Transplantation

Referrals

Patients interested in kidney or pancreas transplantation should schedule an appointment by calling our office at (212) 659-8086. The receptionist will forward your call to the referral coordinator, and your demographic, dialysis, and insurance information will be taken. Once we have received clearance from your insurance carrier (usually within three business days), you will be called to schedule an appointment.

Beginning with the first appointment, patients will undergo an extensive evaluation at Mount Sinai, most of which will be performed in one visit. The multidisciplinary kidney/pancreas team evaluating patients includes nephrologists, cardiologists, transplant surgeons, social workers, nurse coordinators, and nutritionists who review your medical history, assess your physical condition, and carry out a series of tests. For patients who will be undergoing the living donor procedure, we will also perform evaluative tests on prospective donors to make sure he or she is a match.

An inpatient evaluation procedure was recently implemented where patients are admitted for one night and two days to complete all necessary tests.

Transplant Work-Up / Tests We Require
Materials Needed for a Full Evaluation

  • History, including all operations, major hospitalizations, medications, results of major tests (e.g., cardiac evaluation, X-rays, scans, Dopplers)
  • Chest X-ray
  • EKG
  • PPD
  • Stress cardiac testing (e.g. Persantine-thallium, dobutamine ECHO)
  • Social work evaluation
  • Complete blood count, full chemistry panel, urine analysis, hepatitis studies, HIV screening, blood test for syphilis (VDRL), CMV, Herpes Simplex, and EBV titers, and C-Peptide (for pancreas transplant candidates)
  • Blood group typing, tissue typing, antibody screening, and cross-match test for patients who have living donor candidates
  • Other relevant tests

Women

  • Gynecologic exam
  • Pap smear
  • Mammogram (if older than 40 years)

Men

  • PSA (if older than 55 years)

HCV-positive Patients

  • Hepatology/ Gastroenterology consultation
  • Hepatic U/S
  • Liver biopsy

Who Are Not Candidates for Kidney Transplantation?

More than 90 percent of transplant recipient candidates evaluated at The Mount Sinai Medical Center are accepted for transplantation. Patients with these conditions may not be considered for transplantation due to increased surgical or medical risk after transplantation:

  • Current or recent history of cancer (Patients should be cancer free for at least 3-5 years after their treatment.)
  • Untreated active or chronic infection
  • End-stage heart, liver, or lung disease (Those patients might be considered for combined heart/kidney or liver/kidney transplantation.)
  • Severe vascular disease
  • Psychiatric or psychosocial conditions which might interfere with your ability to understand or cooperate with your care

To Make an Appointment

Tel: (212) 659-8086
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