Current approaches to optimize the donor heart for transplantation

IF 6 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Heart and Lung Transplantation Pub Date : 2024-12-25 DOI:10.1016/j.healun.2024.12.001
Amit H. Alam MD , Candice Y. Lee MD , Manreet K. Kanwar MD , Yasbanoo Moayedi MD , Alexander M. Bernhardt MD , Koji Takeda MD , Duc Thinh Pham MD , Christopher Salerno MD , Andreas Zuckermann MD , David D’Alessandro MD , Victor G. Pretorius MBChB , John O. Louca MB, BChir , Stephen Large MD , Dawn E. Bowles PhD , Scott C. Silvestry MD , Nader Moazami MD
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Abstract

Heart transplantation remains a critical therapy for patients with end-stage heart failure, offering incremental survival and improved quality of life. One of the key components behind the success of heart transplantation is the condition and preservation of the donor's heart. In this review, we provide a comprehensive overview of ischemic reperfusion injury, risk factors associated with primary graft dysfunction, current use of various preservation solutions for organ procurement, and recent advancements in donor heart procurement technologies. This state-of-the-art review will explore factors associated with bringing the “ideal” donor heart to the operating room in the contemporary era.

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优化供体心脏移植的当前方法。
心脏移植仍然是终末期心力衰竭患者的关键治疗方法,可以增加生存时间并改善生活质量。心脏移植成功的关键因素之一是供体心脏的状况和保存。在这篇综述中,我们提供了缺血性再灌注损伤的全面概述,与原发性移植物功能障碍相关的危险因素,目前各种器官获取保存解决方案的使用以及供体心脏获取技术的最新进展。这篇最新的综述将探讨在当代将“理想”供体心脏带到手术室的相关因素。
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来源期刊
CiteScore
10.10
自引率
6.70%
发文量
1667
审稿时长
69 days
期刊介绍: The Journal of Heart and Lung Transplantation, the official publication of the International Society for Heart and Lung Transplantation, brings readers essential scholarly and timely information in the field of cardio-pulmonary transplantation, mechanical and biological support of the failing heart, advanced lung disease (including pulmonary vascular disease) and cell replacement therapy. Importantly, the journal also serves as a medium of communication of pre-clinical sciences in all these rapidly expanding areas.
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