Patients may be referred to the Transplant Center at Carolinas Medical Center for consideration by their gastroenterologist, primary care physician, hepatologist or insurance carrier.
Referral information should include the following:
The intake team reviews all referrals and contacts your patient. The patient's information also is forwarded to a transplant financial coordinator to verify transplant coverage. Once authorization for the evaluation is obtained from the insurance company, the patient is scheduled for an outpatient evaluation, which includes:
The following tests are the responsibility of the patient:
Call 704-355-6924 for information regarding the referral process. It is important that the transplant team know as much as possible about each potential candidate for transplantation. For questions or transfers, you may contact the liver transplant coordinator at 704-355-6649 or 800-562-5752.
Once a referral is made, patients are evaluated by the Liver Transplant Program. The following issues must be addressed before progressing to transplantation:
Common contraindications to liver transplantation:
Wait List Maintenance
Liver transplantation is a complicated decision for both physicians and patients. In each case, a terminal illness is being replaced by a new and chronic condition. The transplant team must ensure that patients are neither too ill nor too healthy to warrant a transplant. The patient must have sufficient medical reserve to survive through and thrive after transplantation. Risks are involved not only for the patients undergoing transplantation but also for those remaining on the waiting list. These principles guide our transplant team as decisions are made affecting each patient we care for.
How Organs are Allocated
Organ allocation guidelines are based on United Network for Organ Sharing and Organ Procurement Transplant Network policies that include medical criteria, as well as equitable utilization of organs. The current liver allocation policy is based upon MELD score and blood type. Patients within a blood group with the highest MELD score receive highest priority. Other factors include age and body size of donor and candidate.
For questions about the Liver Transplant Program or Carolinas Center for Liver Diseases at Carolinas HealthCare System, call 704-355-6649 or 800-562-5752.
The Carolinas Medical Center Liver Transplant Center medical staff includes transplant hepatologists and transplant surgeons as well as an experienced clinical staff of physician assistants, transplant coordinators and registered nurses.
Mark Russo, MD, MPH, Transplant Hepatologist and Director of the Liver Center
Philippe Zamor, MD, MPH, Transplant Hepatologist
Paul Schmeltzer, MD Transplant Hepatologist
Vincent Casingal, MD, FACS, Transplant Surgeon
David Levi, MD, FACS, Transplant Surgeon
Greg Conner, PA-C, Physician Assistant
Michael Filsinger, PA-C, Physician Assistant
Cindy Fowler, RN, Transplant Coordinator
Tracy Johnson, RN, Transplant Coordinator
Sarah Tollefson, RN, Transplant Coordinator
Erin Rein, RN, Transplant Coordinator
Kelly Tanner, RN, Transplant Coordinator
Roxanne Hunter, RN, Hepatology Nurse
Rebecca Baer, RN, Hepatology Nurse
Andrew S. deLemos, MD, Transplant Hepatologist