Therapy forms for advanced heart failure. Heart transplantation

被引:0
作者
Fernandes, L. Kopp [1 ]
Hummel, M. [1 ]
Knosalla, C. [1 ]
Schoenrath, F. [1 ]
机构
[1] Deutsch Herzzentrum Berlin, Klin Herz, Thorax & Gefasschirurg, Augustenburger Pl 1, D-13353 Berlin, Germany
来源
KARDIOLOGE | 2016年 / 10卷 / 04期
关键词
Heart failure; Allocation; Complications; Aftercare; Survival;
D O I
10.1007/s12181-016-0063-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heart transplantation is the gold standard for end stage heart failure and the only long-term therapy at this stage of the disease. To achieve long-term survival following heart transplantation careful preoperative somatic and psychological evaluation ismandatory. Organ allocation in Germany is operated by Eurotransplant (The Netherlands). Due to a shortage of donor organs, most organs are allocated to recipients with a highly urgent status. After successful transplantation it is of paramount importance in the aftercare to identify and treat possible cardiac allograft vasculopathy, infections, malignancies and organ rejection. A cornerstone for this is modern differentiated immunosuppressive therapy.
引用
收藏
页码:249 / 257
页数:9
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