Heart transplantation indicated only in the most severely ill patient: Perspectives from the German heart transplant experience

被引：12
作者：
Deng, MC
Smits, JMA
De Meester, J
Hummel, M
Schoendube, F
Scheld, HH
机构：
[1] Columbia Univ Coll Phys & Surg, New York Presbyterian Hosp, Heart Failure Ctr, New York, NY 10032 USA
[2] Eurotransplant Fdn, Leiden, Netherlands
[3] Univ Munster, Dept Cardiothorac Surg, D-4400 Munster, Germany
来源：
CURRENT OPINION IN CARDIOLOGY | 2001年 / 16卷 / 02期
关键词：
D O I：
10.1097/00001573-200103000-00004
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The COCPIT study, performed in a complete national cohort of adult patients consecutively listed for cardiac transplantation in Germany in 1997, found a beneficial effect only in the group that was at high risk of dying from heart failure without transplantation. If these results can be reproduced in other countries, the discussion on the respective roles of pharmacological and organ-saving surgical therapies for advanced heart failure, medical urgency and waiting time as heart transplantation allocation criteria, and the feasibility of a randomized clinical trial testing the survival benefit of transplantation must be reopened. Curr Opin Cardiol 2001, 16:97-104 (C) 2001 Lippincott Williams & Wilkins, Inc.
引用
收藏
页码：97 / 104
页数：8
相关论文
共 59 条
[1]   Development and prospective validation of a clinical index to predict survival in ambulatory patients referred for cardiac transplant evaluation [J].
Aaronson, KD ;
Schwartz, JS ;
Chen, TM ;
Wong, KL ;
Goin, JE ;
Mancini, DM .
CIRCULATION, 1997, 95 (12) :2660-2667
[2]  
Ashby D, 2000, STAT MED, V19, P3291, DOI 10.1002/1097-0258(20001215)19:23<3291::AID-SIM627>3.0.CO
[3]  
2-T
[4]   Heart transplantation in patients 65 years of age and older: A comparative analysis of 40 patients [J].
Blanche, C ;
Takkenberg, JJM ;
Nessim, S ;
Cohen, M ;
Czer, LSC ;
Matloff, JM ;
Trento, A .
ANNALS OF THORACIC SURGERY, 1996, 62 (05) :1442-1446
[5]   Intermediate-term outcome of mitral reconstruction in cardiomyopathy [J].
Bolling, SF ;
Pagani, FD ;
Deeb, GM ;
Bach, DS .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (02) :381-386
[6]   Ten-year follow-up of critically ill patients undergoing heart transplantation [J].
Carrier, M ;
White, M ;
Pelletier, G ;
Perrault, LP ;
Pellerin, M ;
Pelletier, LC .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2000, 19 (05) :439-443
[7]   Lung transplant waiting list: Differential outcome of type of end-stage lung disease, one year after registration [J].
De Meester, J ;
Smits, JMA ;
Persijn, GG ;
Haverich, A .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 1999, 18 (06) :563-571
[8]   Development of cardiac transplant policy in Germany [J].
Deng, MC ;
De Meester, JMJ ;
Scheld, HH .
THORACIC AND CARDIOVASCULAR SURGEON, 2000, 48 (03) :183-185
[9]  
Deng MC, 2001, CIRCULATION, V103, P231
[10]   Effect of receiving a heart transplant: analysis of a national cohort entered on to a waiting list, stratifred by heart failure severity [J].
Deng, MC ;
De Meester, JMJ ;
Smits, JMA ;
Heinecke, J ;
Scheld, HH .
BRITISH MEDICAL JOURNAL, 2000, 321 (7260) :540-545
123456