Heart transplantation versus destination therapy: Treatment options in elderly patients

被引:0
作者
Reiss N. [1 ]
Karck M. [1 ]
Ruhparwar A. [1 ]
机构
[1] Klinik für Herzchirurgie, Universitätsklinikum Heidelberg, 69120 Heidelberg
关键词
Graft rejection; Heart failure; Heart-assist devices; Mortality; Quality of life;
D O I
10.1007/s00398-013-1016-0
中图分类号
学科分类号
摘要
Advanced recipient age represents a contraindication in numerous transplant centers worldwide. Due to mprovements in immunosuppression and therefore also of long-term results after heart transplantation, more and more older patients are being listed for transplantation. The present paper describes the literature regarding heart transplantation in advanced age. Nevertheless, because of new allocation strategies in times of persistent donor organ shortage, heart transplantation could be restricted to younger recipients in the near future. Therefore, in the second part of the present paper the so-called destination therapy as an alternative to heart transplantation is described. © 2013 Springer-Verlag Berlin Heidelberg.
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页码:302 / 307
页数:5
相关论文
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