期刊
AMERICAN JOURNAL OF TRANSPLANTATION
卷 21, 期 7, 页码 2459-2467出版社
WILEY
DOI: 10.1111/ajt.16512
关键词
clinical research; practice; ethics; ethics and public policy; heart disease; heart transplantation; cardiology; immunosuppressant; kidney disease; kidney transplantation; nephrology
资金
- California Heart Center Foundation, Los Angeles California
Simultaneous heart-kidney transplant has achieved successful outcomes for patients with end-stage heart disease and concomitant kidney disease, but decision-making for this procedure presents challenges. A consensus conference in 2019 aimed to develop interdisciplinary criteria, evaluate kidney allocation, and recommend standardized care for sHK recipients.
Simultaneous heart-kidney transplant (sHK) has enabled the successful transplantation of patients with end-stage heart disease and concomitant kidney disease, with non-inferior outcomes to heart transplant (HT) alone. The decision for sHK is challenged by difficulties in differentiating those patients with a significant component of reversible kidney injury due to cardiorenal syndrome who may recover kidney function after HT, from those with intrinsic advanced kidney disease who would benefit most from sHK. A consensus conference on sHK took place on June 1, 2019 in Boston, Massachusetts. The conference represented a collaborative effort by experts in cardiothoracic and kidney transplantation from centers across the United States to explore the development of guidelines for the interdisciplinary criteria for kidney transplantation in the sHK candidate, to evaluate the current allocation of kidneys to follow the heart for sHK, and to recommend standardized care for the management of sHK recipients. The conference served as a forum to unify criteria between the different specialties and to forge a pathway for patients who may need dual organ transplantation. Due to the continuing shortage of available donor organs, ethical problems related to multi-organ transplantation were also debated. The findings and consensus statements are presented.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据