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http://hdl.handle.net/10553/134617
Título: | First cardiac transplant program in a european ultraperipheral and multi-insular region. The advantage of disadvantage | Autores/as: | Groba Marco, Maria Del Val Galvan Ruiz, M. Fernandez De Sanmamed, M. Gonzalez Martin, J. M. Ramonis Quintero, J. Tena Pajuelo, M. Tout Castellano, M. Gonzalez Morales, L. Caballero Dorta, E. Garcia Quintana, A. |
Clasificación UNESCO: | 32 Ciencias médicas 321314 Cirugía de los trasplantes 320501 Cardiología |
Fecha de publicación: | 2024 | Publicación seriada: | European Journal of Heart Failure | Conferencia: | Heart Failure 2024 | Resumen: | Background: The establishment of a new cardiac transplant (CT) in a remote andmulti-island population presents significant clinical and logistical challenges. A newSpanish HT program was initiated in the Canary Islands, Spain, in November 2019.Objectives: To analyze the characteristics and early-term outcomes of a novel CTprogram with specific particularities.Methods: Retrospective, single-center, observational study, of all consecutive adultpatients who underwent CT between November 2019 and July 2023. Clinical,surgical, and follow-up data were retrieved retrospectively from the Spanish HeartTransplant Registry and local database.Results: Seventy de novo CT were performed by our team using bicaval technique(one in December 2019, 15 in 2020, 17 in 2021, 22 in 2022, and 15 until July2023). Recipients had a mean age of 56 years (25-71), 22% were female, and 37%had ischemic dilated cardiomyopathy. Two donors were from Murcia and one fromMadrid, and the rest (96%) were local donors (figure 1). Mean age of donors was45 years and 74% were male. The mean ischemia time was 151 min (70-298) and10 (14%) CT were from controlled donation after circulatory death. The averagerecipients 30 days and 1 -year survival rate was of 95.7% and 94.1% respectively,with a median follow up of 19 months (figure 2).Conclusions: Despite the challenges posed by the extreme isolation andmulti-island geography, the CT program has demonstrated self-sufficiency, excellentcoordination, and promising early-term survival results.Origin of recipients and donors. | URI: | http://hdl.handle.net/10553/134617 | ISSN: | 1388-9842 | Fuente: | European Journal Of Heart Failure[ISSN 1388-9842],v. 26 sup. 2, p. 286-287, (Julio 2024) |
Colección: | Actas de congresos |
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