Current status and surgical advances in adult heart transplantation in the United States
- VernacularTitle:美国成人心脏移植现状与外科进展
- Author:
Hongliang LIANG
1
Author Information
1. Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California, 94305, USA
- Publication Type:Journal Article
- Keywords:
Heart transplantation;
donation after brain death;
donation after circulatory death;
extended criteria donors;
multi-organ transplantation;
primary graft dysfunction;
mechanical circulatory support;
artificial intelligence;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(11):1567-1588
- CountryChina
- Language:Chinese
-
Abstract:
Heart transplantation remains the most effective treatment for patients with end-stage heart failure. Over the past decade, significant advancements have been made in the field of heart transplant surgery. However, the enormous demand from heart failure patients and the severe shortage of available donor hearts continue to be major obstacles to the widespread application of heart transplantation. With the development of donor heart recovery, preservation, and evaluation techniques, the use of extended criteria donors and donation after circulatory death has increased. These technological advancements have expanded the safe ischemic time and geographic range for donor heart procurement, significantly enlarging the donor pool and driving a rapid increase in heart transplant cases. Concurrently, many new techniques have emerged in heart transplant surgery and perioperative management, particularly the rapid advancements in mechanical circulatory support and artificial intelligence, which hold the potential to revolutionize the field. This article reviews and discusses the current status and major surgical advancements in adult heart transplantation in the United States, aiming to provide insights and stimulate ongoing exploration and innovation in this field.
