Review of the allocation criteria for heart transplant in Spain in 2023. SEC-Heart Failure Association/ONT/SECCE consensus document.

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Autores de IDIVAL

Autores ajenos al IDIVAL

  • González-Costello J
  • Pérez-Blanco A
  • Delgado-Jiménez J
  • Mirabet S
  • Sandoval E
  • Cuenca-Castillo J
  • Camino M
  • Segovia-Cubero J
  • Carlos Sánchez-Salado J
  • Sota EP
  • Almenar-Bonet L
  • Farrero M
  • Zataraín E
  • García-Cosío MD
  • Garrido I
  • Barge-Caballero E
  • Gómez-Bueno M
  • Bagudá JJ
  • Manito-Lorite N
  • López-Granados A
  • García-Guereta L
  • Blasco-Peiró T
  • Sobrino-Márquez M
  • Fuente-Galán L
  • Crespo-Leiro MG
  • Coll E
  • Gran-Ipiña F
  • Díaz-Molina B
  • Doñate L
  • Sánchez-Vicario F
  • Atienza F
  • Juan-Aracil GR
  • García-Quintana A
  • Martínez-Alpuente I
  • Riesgo-Gil F
  • Hernández-Monfort J
  • Oliver-Juan E
  • Sánchez-Rivas J
  • Padilla-Martínez M
  • Miguel Pérez-Villares J
  • Domínguez-Gil B

Unidades

Abstract

Heart transplant (HT) remains the best therapeutic option for patients with advanced heart failure (HF). The allocation criteria aim to guarantee equitable access to HT and prioritize patients with a worse clinical status. To review the HT allocation criteria, the Spanish Society of Cardiology and the National Transplant Organization organized a consensus conference involving adult and pediatric cardiologists, adult and pediatric cardiac surgeons, transplant coordinators from all over Spain, and physicians and nurses from the National Transplant Organization. The aims of the consensus conference were as follows: a) to analyze the organization and management of patients with advanced HF and cardiogenic shock in Spain; b) to critically review heart allocation and priority criteria in other transplant organizations; c) to analyze the outcomes of patients listed and receiving a transplant before and after the modification of heart allocation criteria in 2017; and d) to propose new heart allocation criteria in Spain after an analysis of the available evidence and multidisciplinary discussion. In this article, we present the results of the analysis performed in the consensus conference and the rationale for the new heart allocation criteria in Spain.

Copyright © 2023 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
1885-5857, 1885-5857

Revista espanola de cardiologia (English ed.)  Elsevier Doyma

Tipo:
Practice Guideline
Páginas:
69-78

Citas Recibidas en Web of Science: 6

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Keywords

  • Advanced heart failure; Asistencia circulatoria mecánica; Criterios de distribución de órgano sólido; Heart transplant; Insuficiencia cardiaca avanzada; National Transplant Organization; Organización Nacional de Trasplantes; Solid organ allocation Mechanical circulatory support; Trasplante cardiaco

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