Liver Transplantation in Patients With Pretransplant Renal Dysfunction: A “Safety Net” Is in Place, but Who Should Walk the Tightrope?

Perioperative renal dysfunction is a widely accepted harbinger of mortality for patients undergoing liver transplantation (LT).1,2 Model for end-stage liver disease (MELD)3 prioritization of such patients, coupled with an inability to accurately predict post-LT renal recovery4 or persistent renal failure, led to a dramatic increase in simultaneous liver-kidney transplantation (SLKT),5 albeit with widely disparate center practices owing to a lack...