Are there instances when you offer dialysis to patients with high-risk hepatorenal syndrome who are not transplant candidates?

Yes. I have done that. Prognosis remains poor but dialysis can sometimes give patients a few more weeks or even months.

I never say never. The diagnosis of HRS is not 100% accurate. Particularly in a young person, but in others as well, if it seemed like there was an acute event, I might offer a time limited period of dialysis.