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Heart

M Colvin1,2, J M Smith2,3, M A Skeans2

  • 1Department of Cardiology, University of Michigan, Ann Arbor, MI.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|January 13, 2016
PubMed

Insights

Heart transplant numbers are rising steadily for both adults and children, with more candidates added to waiting lists each year. Despite increased procedures, long-term survival rates for pediatric heart transplant recipients show ongoing challenges.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Public Health

Background:

  • The demand for heart transplants is increasing globally.
  • Rising numbers of candidates on heart transplant waiting lists present significant challenges.
  • Steady annual increases in heart transplant procedures offer hope.

Purpose of the Study:

  • To analyze trends in heart transplant waitlist activity for adult and pediatric candidates.
  • To evaluate the volume and outcomes of heart transplant procedures over time.
  • To assess survival rates for pediatric heart transplant recipients.

Main Methods:

  • Analysis of national heart transplant waitlist data.
  • Review of heart transplant procedure statistics from 2003 to 2014.
  • Examination of survival data for pediatric heart transplant recipients (2008-2012).

Main Results:

  • Heart transplants increased by 28.4% from 2003 to 2014, with 2679 procedures in 2014.
  • Both adult and pediatric waiting lists saw increased additions and removals due to transplant.
  • Pediatric heart transplants rose to 410 in 2014; 5-year survival was 81.7% for transplants in 2008-2012.

Conclusions:

  • While heart transplant volume is increasing, waitlist demand continues to grow.
  • Improved outcomes and survival rates are crucial, especially for pediatric recipients.
  • Continued monitoring and research are essential to address the gap between demand and supply in heart transplantation.

Keywords:
End-stage heart failureheart transplanttransplant outcomesventricular assist device

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