Enabling liver transplantation during the COVID-19 era: More than screening donors and recipients for SARS-CoV-2

Abdala, Edson; Waisberg, Daniel Reis; Haddad, Luciana Bertocco; Ducatti, Liliana; Rocha-Santos, Vinícius; Martino, Rodrigo; Andraus, Wellington; D’Albuquerque, Luiz Augusto Carneiro

doi:10.6061/clinics/2020/e2377

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Liver Transplantation In Covid-19: What the Pandemic Implied For Transplant Programs1

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2022

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Cited by 3 publications

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“…[ 27 , 28 ] Therefore, multimodal strategies are necessary to prevent such infections during the COVID-19 era. [29] …”

Section: Discussionmentioning

confidence: 99%

Liver transplant after SARS-CoV-2 infection: A systematic review

Nacif

Fernandes

Waisberg

et al. 2022

Clinics

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“…[ 27 , 28 ] Therefore, multimodal strategies are necessary to prevent such infections during the COVID-19 era. [29] …”

Section: Discussionmentioning

confidence: 99%

Liver transplant after SARS-CoV-2 infection: A systematic review

Nacif

Fernandes

Waisberg

et al. 2022

Clinics

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“…Mortality attributable to COVID-19 appears higher in patients with more advanced liver disease [ 47 ], and there is no reassuring data in terms of early immunization against the virus in transplanted patients [ 48 ]. While data is scarce, the incidence of early posttransplant Coronavirus Disease 2019 (COVID-19) may reach up to 38% [ 49 ]; this is acquired generally in the community or during hospitalization. Thus, it was recommended that all patients should be evaluated for COVID-19 routinely and particularly preoperatively and that isolation should be considered for all transplant patients [ 50 ], with significant challenges to adequately follow them up.…”

Section: Liver Transplantation In Covid-19: What the Pandemic Implied For Transplant Programsmentioning

confidence: 99%

Liver Transplant Imaging prior to and during the COVID-19 Pandemic

Bellini

Fresilli

Lauro

et al. 2022

BioMed Research International

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Background. The suspension of the surgical activity, the burden of the infection in immunosuppressed patients, and the comorbidities underlying end-stage organ disease have impacted transplant programs significantly, even life-saving procedures, such as liver transplantation. Methods. A review of the literature was conducted to explore the challenges faced by transplant programs and the adopted strategies to overcome them, with a focus on indications for imaging in liver transplant candidates. Results. Liver transplantation relies on an appropriate imaging method for its success. During the Coronavirus Disease 2019 (COVID-19) pandemic, chest CT showed an additional value to detect early signs of SARS-CoV-2 infection and other screening modalities are less accurate than radiology. Conclusion. There is an emerging recognition of the chest CT value to recommend its use and help COVID-19 detection in patients. This examination appears highly sensitive for liver transplant candidates and recipients, who otherwise would have not undergone it, particularly when asymptomatic.

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