Implantation of mechanical circulatory support systems and heart transplantation in patients with end-stage heart failure Consensus paper of the DGK, DGTHG

被引:0
作者
Schulze, P. Christian [1 ]
Barten, Markus J. [2 ]
Boeken, Udo [3 ]
Faerber, Gloria [4 ]
Hagl, Christian M. [5 ]
Jung, Christian [6 ]
Leistner, David [7 ]
Potapov, Evgenij [8 ]
Bauersachs, Johann [9 ]
Raake, Philip [10 ]
Reiss, Nils [11 ]
Saeed, Diyar [12 ]
Schibilsky, David [13 ]
Stork, Stefan [14 ]
Veltmann, Christian [15 ]
Rieth, Andreas J. [16 ]
Gummert, Jan [17 ]
机构
[1] Univ Klinikum Jena, Kardiol Angiol & Internist Intens Med, Klin Innere Med 1, Jena, Germany
[2] Univ Klinikum Hamburg Eppendorf, Herzzentrum, Klin Herzchirurg, Hamburg, Germany
[3] Univ Klinikum Dusseldorf, Klin Herzchirurg, Dusseldorf, Germany
[4] Univ Klinikum Jena, Friedrich Schiller Univ Jena, Klin Herz & Thoraxchirurg, Jena, Germany
[5] LMU Klinikum, Herzchirurg Klin & Poliklin, Munich, Germany
[6] Heinrich Heine Univ, Univ Klinikum Dusseldorf, Klin Kardiol Pneumol & Angiol, Dusseldorf, Germany
[7] Charite Univ Med Berlin, Campus Benjamin Franklin, Klin Kardiol, Berlin, Germany
[8] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Abt Herz Thorax & Gefasschirurg, Deutsch Herzzentrum Berlin, Berlin, Germany
[9] Hannover Med Sch, Klin Kardiol & Angiol, Hannover, Germany
[10] Univ Klinikum Heidelberg, Innere Med Kardiol Angiol & Pneumol 3, Heidelberg, Germany
[11] Schuchtermann Schillersche Kliniken, Bad Rothenfelde, Germany
[12] Univ Klin Herzchirurg, Herzzentrum Leipzig, Leipzig, Germany
[13] Univ Klinikum Freiburg Bad Krotzingen, Herzchirurg, Bad Krotzingen, Germany
[14] Univ Klinikum Wurzburg, Deutsch Zentrum Herzinsuffizienz & Med Klin 1, Wurzburg, Germany
[15] Hannover Med Sch, Hannover Herzrhythmus Ctr, Klin Kardiol & Angiol, Hannover, Germany
[16] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Abt Kardiol, Standort RheinMain, Kerckhoff Klin, Benekestr 2-8, D-61231 Bad Nauheim, Germany
[17] Ruhr Univ Bochum, Klin Thorax & Kardiovaskularchirurg, Herz & Diabet Zentrum Nordrhein Westfalen, Univ Klinikum, Bad Oeynhausen, Germany
来源
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE | 2022年 / 36卷 / 05期
关键词
Advanced heart failure; Mechanical circulatory support; Heart transplantation; Low cardiac output syndrome; End-organ damage; VENTRICULAR ASSIST DEVICE; INTERNATIONAL SOCIETY; INTERMACS PROFILES; ULTRAFILTRATION; TACHYCARDIA; PREDICTION; SURVIVAL; ABLATION; REGISTRY;
D O I
10.1007/s00398-022-00525-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The treatment of patients with advanced heart failure requires interdisciplinary care in a qualified heart failure team, especially prior to and in the follow-up of mechanical circulatory support (MCS) implantation and heart transplantation (HTx). The basic prerequisite is the early specialized evaluation of symptomatic patients even under optimized heart failure treatment. Diagnostics and treatment are initially aimed at improving the prognosis. If the prerequisites for MCS or HTx treatment are present, possible contraindications and problems have to be evaluated in order to achieve an optimal risk-benefit ratio for the abovementioned complex treatments with limited resources. The optimal treatment is still HTx if the conditions are right, so this should be sought in all potential patients. At the same time, the optimal individual transplantation window should not be missed. The provision of a MCS system is a treatment performed with very good results for patients with exclusion criteria for HTx or with hemodynamic instability that prevents a longer waiting time for a donor organ. Short-term and medium-term survival is now comparable to HTx when carefully indicated. Timely implantation before the onset of manifest end-organ damage is crucial. Optimized implementation of advanced treatment requires professional structures that enable effective interdisciplinary cooperation between different sectors of health care.
引用
收藏
页码:311 / 322
页数:12
相关论文
共 44 条
[1]   Catheter Ablation of Ventricular Tachycardia in Patients With a Ventricular Assist Device A Systematic Review of Procedural Characteristics and Outcomes [J].
Anderson, Robert D. ;
Lee, Geoffrey ;
Virk, Sohaib ;
Bennett, Richard G. ;
Hayward, Christopher S. ;
Muthiah, Kavitha ;
Kalman, Jonathan ;
Kumar, Saurabh .
JACC-CLINICAL ELECTROPHYSIOLOGY, 2019, 5 (01) :39-51
[2]  
[Anonymous], 2016, EMCDDA-Europol 2016 Annual Report on the Implementation of Council Decision 2005/387/JHA, P1
[3]   Ultrafiltration in Decompensated Heart Failure with Cardiorenal Syndrome [J].
Bart, Bradley A. ;
Goldsmith, Steven R. ;
Lee, Kerry L. ;
Givertz, Michael M. ;
O'Connor, Christopher M. ;
Bull, David A. ;
Redfield, Margaret M. ;
Deswal, Anita ;
Rouleau, Jean L. ;
LeWinter, Martin M. ;
Ofili, Elizabeth O. ;
Stevenson, Lynne W. ;
Semigran, Marc J. ;
Felker, G. Michael ;
Chen, Horng H. ;
Hernandez, Adrian F. ;
Anstrom, Kevin J. ;
McNulty, Steven E. ;
Velazquez, Eric J. ;
Ibarra, Jenny C. ;
Mascette, Alice M. ;
Braunwald, Eugene .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (24) :2296-2304
[4]   The Universal Definition of Heart Failure: Perspectives from Diverse Stakeholders [J].
Mentz, Robert J. ;
Lala, Anuradha .
JOURNAL OF CARDIAC FAILURE, 2021, 27 (04) :386-386
[5]   Effects of person-centred and integrated chronic heart failure and palliative home care. PREFER: a randomized controlled study [J].
Brannstrom, Margareta ;
Boman, Kurt .
EUROPEAN JOURNAL OF HEART FAILURE, 2014, 16 (10) :1142-1151
[6]  
Bundesarztekammer, 2021, DEUT ARZTEBLATT, V118
[7]  
Bundesarztekammer, 2019, DEUT ARZTEBLATT, V116, pA2322, DOI [DOI 10.3238/ARZTEBL.2019.RILI_BAEK_ORGAWLOVLEBERT, 10.3238/arztebl.2019.rili_baek_OrgaWlOvLeberT]
[8]   Performance of Prognostic Risk Scores in Chronic Heart Failure Patients Enrolled in the European Society of Cardiology Heart Failure Long-Term Registry [J].
Canepa, Marco ;
Fonseca, Candida ;
Chioncel, Ovidiu ;
Laroche, Cecile ;
Crespo-Leiro, Maria G. ;
Coats, Andrew J. S. ;
Mebazaa, Alexandre ;
Piepoli, Massimo F. ;
Tavazzi, Luigi ;
Maggioni, Aldo P. .
JACC-HEART FAILURE, 2018, 6 (06) :452-462
[9]   The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-sixth adult lung and heart-lung transplantation Report-2019; Focus theme: Donor and recipient size match [J].
Chambers, Daniel C. ;
Cherikh, Wida S. ;
Harhay, Michael O. ;
Hayes, Don, Jr. ;
Hsich, Eileen ;
Khush, Kiran K. ;
Meiser, Bruno ;
Potena, Luciano ;
Rossano, Joseph W. ;
Toll, Alice E. ;
Singh, Tajinder P. ;
Sadavarte, Aparna ;
Zuckermann, Andreas ;
Stehlik, Josef .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2019, 38 (10) :1042-1055
[10]   Efficacy and safety of intermittent intravenous outpatient administration of levosimendan in patients with advanced heart failure: the LION-HEART multicentre randomised trial [J].
Comin-Colet, Josep ;
Manito, Nicolas ;
Segovia-Cubero, Javier ;
Delgado, Juan ;
Garcia Pinilla, Jose Manuel ;
Almenar, Luis ;
Crespo-Leiro, Maria G. ;
Sionis, Alessandro ;
Blasco, Teresa ;
Pascual-Figal, Domingo ;
Gonzalez-Vilchez, Francisco ;
Luis Lambert-Rodriguez, Jose ;
Grau, Maria ;
Bruguera, Jordi .
EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 (07) :1128-1136