Journal article
Report From the American Society of Transplantation Conference on Donor Heart Selection in Adult Cardiac Transplantation in the United States
American journal of transplantation, v 17(10), pp 2559-2566
Oct 2017
PMID: 28510318
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cardiac transplantation remains the only definitive treatment for end-stage heart failure. Transplantation rates are limited by a shortage of donor hearts. This shortage is magnified because many hearts are discarded because of strict selection criteria and concern for regulatory reprimand for less-than-optimal posttransplant outcomes. There is no standardized approach to donor selection despite proposals to liberalize acceptance criteria. A donor heart selection conference was organized to facilitate discussion and generate ideas for future research. The event was attended by 66 participants from 41 centers with considerable experience in cardiac donor selection. There were state-of-the-art presentations on donor selection, with subsequent breakout sessions on standardizing the process and increasing utilization of donor hearts. Participants debated misconceptions and established agreement on donor and recipient risk factors for donor selection and identified the components necessary for a future donor risk score. Ideas for future initiatives include modification of regulatory practices to consider extended criteria donors when evaluating outcomes and prospective studies aimed at identifying the factors leading to nonacceptance of available donor hearts. With agreement on the most important donor and recipient risk factors, it is anticipated that a consistent approach to donor selection will improve rates of heart transplantation.
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Details
- Title
- Report From the American Society of Transplantation Conference on Donor Heart Selection in Adult Cardiac Transplantation in the United States
- Creators
- J Kobashigawa - Cedars-Sinai Medical CenterK Khush - Stanford UniversityM Colvin - University of Michigan–Ann ArborM Acker - University of Pennsylvania, Philadelphia PA.A Van Bakel - Medical University of South CarolinaH Eisen - Drexel UniversityY Naka - Columbia UniversityJ Patel - Cedars-Sinai Medical CenterD A Baran - Newark Beth Israel Medical CenterT Daun - Cedars-Sinai Medical CenterM Luu - Cedars-Sinai Medical CenterM Olymbios - Cedars-Sinai Medical CenterJ Rogers - Duke UniversityV Jeevanandam - University of ChicagoF Esmailian - Cedars-Sinai Medical CenterF D Pagani - University of Michigan–Ann ArborB Lima - Baylor University Medical CenterJ Stehlik - University of Utah
- Publication Details
- American journal of transplantation, v 17(10), pp 2559-2566
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate)
- Web of Science ID
- WOS:000411878900010
- Scopus ID
- 2-s2.0-85020457415
- Other Identifier
- 991019168315904721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery
- Transplantation