Consensus conference on heart-kidney transplantation.
clinical research/practice
ethics
ethics and public policy
heart disease
heart transplantation/cardiology
immunosuppressant
kidney disease
kidney transplantation/nephrology
Journal
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
ISSN: 1600-6143
Titre abrégé: Am J Transplant
Pays: United States
ID NLM: 100968638
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
13
01
2021
received:
29
09
2020
accepted:
24
01
2021
pubmed:
3
2
2021
medline:
10
8
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33527725
doi: 10.1111/ajt.16512
pii: S1600-6135(22)08633-6
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2459-2467Investigateurs
Eric Adler
(E)
Enver Akalin
(E)
Allen Anderson
(A)
Kelly Birdwell
(K)
David Cohen
(D)
R John Crew
(RJ)
Howard Eisen
(H)
Erika Feller
(E)
Bernie Fischbach
(B)
Lorenzo Gallon
(L)
Alan Gass
(A)
Juan Gonzalez
(J)
Evelyn Horn
(E)
Lesley Inker
(L)
Maryl Johnson
(M)
Kiran Khush
(K)
Heather Lefkowitz
(H)
Abdul Moiz
(A)
Sriram Nathan
(S)
Ali Nsair
(A)
Alice Peng
(A)
Emilio Poggio
(E)
Rajko Radovancevic
(R)
Ashwin Ravichandran
(A)
David Serur
(D)
Mark Zucker
(M)
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 The American Society of Transplantation and the American Society of Transplant Surgeons.
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