scholarly journals Heart transplantation in the current era: Thinking outside the box of normal donor criteria

2021 ◽  
Author(s):  
Nicholas R. Hess ◽  
Arman Kilic
Keyword(s):  
Heart Transplantation ◽  
Normal Donor ◽  
Donor Criteria ◽  
Outside The Box

scholarly journals Extended donor criteria in heart transplantation: a retrospective study from a single Chinese institution

2018 ◽  
Vol 10 (4) ◽  
pp. 2153-2165 ◽  
Author(s):  
Yixuan Wang ◽  
Jie Cai ◽  
Yongfeng Sun ◽  
Jing Zhang ◽  
Fei Xie ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Heart Transplantation ◽  
Donor Criteria ◽  
Extended Donor Criteria

312: Extended Donor Criteria in Heart Transplantation with Pharmacological Stress Echocardiography

2010 ◽  
Vol 29 (2) ◽  
pp. S105-S105
Author(s):  
G. Arpesella ◽  
S. Martin-Suarez ◽  
P.M. Mikus ◽  
S. Gherardi ◽  
M. Macherini ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Stress Echocardiography ◽  
Pharmacological Stress ◽  
Donor Criteria ◽  
Extended Donor Criteria

scholarly journals Pediatric urgent heart transplantation with age or weight mismatched donors: Reducing waiting time by enlarging donor criteria

2021 ◽  
Author(s):  
Murat Avsar ◽  
Elena Petená ◽  
Fabio Ius ◽  
Dmitry Bobylev ◽  
Tomislav Cvitkovic ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Waiting Time ◽  
Donor Criteria

Do Expanded Donor Criteria Impact Outcomes in Pediatric Heart Transplantation? A UNOS Registry Analysis

2020 ◽  
Vol 39 (4) ◽  
pp. S222-S223
Author(s):  
S.R. Deshpande ◽  
B. Alsoufi ◽  
P. Sinha ◽  
S. Amdani ◽  
K. Ramakrishnan ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Pediatric Heart Transplantation ◽  
Donor Criteria ◽  
Registry Analysis

EXTENDED DONOR CRITERIA DO NOT AFFECT HEART TRANSPLANTATION OUTCOME

2010 ◽  
Vol 90 ◽  
pp. 747
Author(s):  
M. B.A. Heemskerk ◽  
A. C. Hemke ◽  
N. de Jonge ◽  
A. H.M.M. Balk ◽  
J. Brügemann ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Donor Criteria ◽  
Extended Donor Criteria

P5416A single-center, thirty-year experience of heart transplantation: analysis of the evolution of patients profile and long term outcomes

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Turco ◽  
P Totaro ◽  
C Pellegrini ◽  
S Guida ◽  
B Cattadori ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Clinical Outcomes ◽  
Waiting List ◽  
Long Term Outcomes ◽  
Ischemic Time ◽  
Kaplan Meier ◽  
Group A ◽  
Donor Criteria ◽  
Group D

Abstract Background Heart Transplantation is still the gold standard therapy for patients suffering from end-stage cardiomyopathy and has been successfully performed in our center since 1985. Over this 30 years period there has been a significant evolution in patients characteristics and in candidate selection (either as a donor and as recipient) as shown by the recent benchmark from International Society of Heart and Lung Transplantation (ISHLT). Here we analyze the evolution of patients profile in our population and we correlated such evolution to the clinical outcomes and to the overall data from ISHLT. Materials and methods Overall 1122 patients underwent heart transplantation at our center from November 19th1985 to date. To analyze the evolution patients profile and donor criteria, patient population was divided in 4 groups according era of transplantation following ISHLT model (Group A from 1985 to 1991; Group B from 1992 to 2003; Group C from 2004 to 2008 and Group D from 2009 to date). Patients characteristics at time of transplantation, donor criteria ad clinical outcomes were analyzed and compared within 4 groups. An overall comparison of our results to the data from ISHLT was also performed. Results Overall Kaplan-Meier survival curve correlates favourably with ISHLT data showing a 20 years survival approaching 40%. Patients age at transplantation changed significantly among 4 groups from a median of 49 years (95% CI 47 to 51) in Group A to 54 years (95% CI 50 to 57) in Group D (p<0.001). Likewise donor age also changed significantly from a median of 24 years (95% CI 22 to 28) in Group A to 43 years (95% CI 39 to 47) in group D (p<0.001). Time on waiting list also changed significantly from a median of 115 days (95% CI 94 to 137) in Group A to 293 (95% CI 200 to 401) in Group D (p<0.001). As a marker of evolution of accepted donor criteria also ischemic time changed from 125±52 minutes of Group A to 153±61 minutes of Group D (p<0.001). As showed in Fig 1, Kaplan-Meier survival curves demonstrated a worse 1-year survival in Group D compared to others 3 Group. Figure 1 Conclusions The significant changing characteristics of both recipients and donors, over 30 years of activity, had a significant impact in early (1 year) postoperative survival following heart transplantation. Although medium/long term outcomes are still satisfactory in patients surviving at least 1 year, these data clearly suggest a more accurate patients selection and the need of alternative treatment before patients conditions deteriorate while on waiting list for heart transplantation

scholarly journals Heart transplantation in the new era of extended donor criteria

2021 ◽  
Author(s):  
Antonio Piperata ◽  
Raphael Caraffa ◽  
olimpia bifulco ◽  
Martina Avesani ◽  
Gino Gerosa ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Medical Community ◽  
Organ Shortage ◽  
New Era ◽  
High Incidence ◽  
Primary Graft Failure ◽  
End Stage Heart Failure ◽  
End Stage ◽  
Donor Criteria ◽  
Extended Donor Criteria

The heart transplantation (HT) is undoubtedly the best treatment for end-stage heart failure patients (2). However, the organ shortage remains a major challenge in cardiac surgery. Facing this problem, the medical community starts to extend the donor criteria to select more suitable organs for HT. The use of ECDs is still controversial, since it is associated with a high incidence of primary graft failure (3), and although it guarantees longer survival than without transplantation, there is still some hesitation in accepting this practice.

Extended donor criteria in heart transplantation: Experience with the Organ Care System

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
R Yeter ◽  
M Hübler ◽  
M Pasic ◽  
C Liedtke ◽  
M Dandel ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Donor Criteria ◽  
Extended Donor Criteria ◽  
Care System
Sign in / Sign up

Export Citation Format

Share Document