Current Approaches to Optimize Donor Heart for Transplantation.

Amit H Alam,Candice Y Lee,Manreet K Kanwar,Yasbanoo Moayedi,Alexander M Bernhardt,Koji Takeda,Duc Thinh Pham,Christopher Salerno,Andreas Zuckermann,David D'Alessandro,Victor G Pretorius,John O Louca,Stephen Large,Dawn E Bowles,Scott C Silvestry,Nader Moazami
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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 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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Thoraco Abdominal Normothermic Regional Perfusion and Lung Transplantation - Is it a Safe Match? The ACTION VAD Registry: A Collective Five-Year Experience. Improving Outcomes in Cardiogenic Shock: A Focus on Reducing Complications. New Kidney-After-Heart Allocation Policy in the United States: Who would benefit from a rescue kidney? What We Know We Don't Know: The Johari Window in DCD Heart Transplantation.
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