TY - JOUR
T1 - Heart Transplant Donor Selection Guidelines
T2 - Review and Recommendations
AU - Sathianathan, Shyama
AU - Bhat, Geetha
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/2
Y1 - 2022/2
N2 - Purpose of Review: The rate of heart transplants, while steadily increasing, is insufficient to meet the growing list of transplant candidates. Marginal donors expand the donor pool. However, criteria used to identify donors greatly vary by institution. Recent Findings: The International Society of Heart and Lung Transplant (ISHLT) heart transplant report of 2020 reinforced the importance of donor selection criteria on heart transplant outcomes. Existing literature challenges and reinforces the report’s findings. Newer methods, such as donation after circulatory death (DCD), also recontextualize existing donor selection criteria. Summary: Transplant prediction models from international databases are poor predictors of individual centers’ outcome. Further study is needed to understand associations among donor risk factors, and update the methods used for donor heart selection. In this review, we examine the current literature on extended donor criteria and recommend a model for donor selection.
AB - Purpose of Review: The rate of heart transplants, while steadily increasing, is insufficient to meet the growing list of transplant candidates. Marginal donors expand the donor pool. However, criteria used to identify donors greatly vary by institution. Recent Findings: The International Society of Heart and Lung Transplant (ISHLT) heart transplant report of 2020 reinforced the importance of donor selection criteria on heart transplant outcomes. Existing literature challenges and reinforces the report’s findings. Newer methods, such as donation after circulatory death (DCD), also recontextualize existing donor selection criteria. Summary: Transplant prediction models from international databases are poor predictors of individual centers’ outcome. Further study is needed to understand associations among donor risk factors, and update the methods used for donor heart selection. In this review, we examine the current literature on extended donor criteria and recommend a model for donor selection.
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U2 - 10.1007/s11886-021-01631-y
DO - 10.1007/s11886-021-01631-y
M3 - Review article
C2 - 35179716
AN - SCOPUS:85125965267
SN - 1523-3782
VL - 24
SP - 119
EP - 130
JO - Current Cardiology Reports
JF - Current Cardiology Reports
IS - 2
ER -